| Bright Side Counseling & Psychotherapy | |
|
70 Kipp Ave Lodi NJ 07644-2917 | |
| (862) 686-4033 | |
| Not Available |
| Full Name | Bright Side Counseling & Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 70 Kipp Ave, Lodi, New Jersey |
| Authorized Official Name and Position | Lois Mcauliffe (OWNER) |
| Authorized Official Contact | 8626864033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Side Counseling & Psychotherapy 70 Kipp Ave Lodi NJ 07644-2917 Ph: (862) 686-4033 | Bright Side Counseling & Psychotherapy 70 Kipp Ave Lodi NJ 07644-2917 Ph: (862) 686-4033 |
| NPI Number | 1467171959 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 1153706494 |
|---|---|
| Medicare Enrollment ID | O20220922000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467171959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lois Mcauliffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649948795 PECOS PAC ID: 4880079128 Enrollment ID: I20220922001112 |
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