| Bright Path Counseling And Consulting Llc | |
|
5415 Sugarloaf Pkwy Ste 2208 Lawrenceville GA 30043-7832 | |
| (770) 676-0737 | |
| (678) 828-5540 |
| Full Name | Bright Path Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 5415 Sugarloaf Pkwy Ste 2208, Lawrenceville, Georgia |
| Authorized Official Name and Position | Brandy Rogers (OWNER) |
| Authorized Official Contact | 7706760737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Path Counseling And Consulting Llc 5415 Sugarloaf Pkwy Ste 2208 Lawrenceville GA 30043-7832 Ph: (770) 676-0737 | Bright Path Counseling And Consulting Llc 5415 Sugarloaf Pkwy Ste 2208 Lawrenceville GA 30043-7832 Ph: (770) 676-0737 |
| NPI Number | 1679065783 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 5799196499 |
|---|---|
| Medicare Enrollment ID | O20201202000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679065783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006397 (Georgia) | Primary |
| Provider Name | David Shane Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184243073 PECOS PAC ID: 1557780418 Enrollment ID: I20200928001338 |
| Provider Name | Jessica Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487198057 PECOS PAC ID: 8921419623 Enrollment ID: I20201202000867 |
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