| Brightside Counseling Services, Pllc | |
|
142 Rehobeth Church Rd Clarkton NC 28433-8014 | |
| (910) 236-2050 | |
| (910) 516-1333 |
| Full Name | Brightside Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 142 Rehobeth Church Rd, Clarkton, North Carolina |
| Authorized Official Name and Position | Lavenda Teresa Rogers (CEO) |
| Authorized Official Contact | 9102362050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Counseling Services, Pllc 142 Rehobeth Church Rd Clarkton NC 28433-8014 Ph: (910) 236-2050 | Brightside Counseling Services, Pllc 142 Rehobeth Church Rd Clarkton NC 28433-8014 Ph: (910) 236-2050 |
| NPI Number | 1487414264 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487414264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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