| Brightside Counseling Services, Llc | |
|
304 E Jackson St Ste 3b Willard MO 65781-9472 | |
| (417) 730-9198 | |
| (417) 222-3367 |
| Full Name | Brightside Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 304 E Jackson St Ste 3b, Willard, Missouri |
| Authorized Official Name and Position | Lacey Marie Wilson (OWNER) |
| Authorized Official Contact | 4176930120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Counseling Services, Llc 105 Pebble Creek Ln Willard MO 65781-8152 Ph: (417) 693-0120 | Brightside Counseling Services, Llc 304 E Jackson St Ste 3b Willard MO 65781-9472 Ph: (417) 730-9198 |
| NPI Number | 1427840800 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427840800 | NPI | - | NPPES |
| 1740681394 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Tetrick Counseling & Associates, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Crighton Dr, Willard, MO 65781 Phone: 417-324-2935 | |
Fincare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 E Jackson St, Ste. 204, Willard, MO 65781 Phone: 417-685-4208 Fax: 417-751-9118 |