| Brighter Side Counseling Llc | |
|
85 Market St Elgin IL 60123-5083 | |
| (847) 264-4655 | |
| (847) 264-4934 |
| Full Name | Brighter Side Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 85 Market St, Elgin, Illinois |
| Authorized Official Name and Position | Karen S Leach (OWNER) |
| Authorized Official Contact | 8472644655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Side Counseling Llc 85 Market St Elgin IL 60123-5083 Ph: (847) 264-4655 | Brighter Side Counseling Llc 85 Market St Elgin IL 60123-5083 Ph: (847) 264-4655 |
| NPI Number | 1144863929 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 11/24/2019 |
| Medicare PECOS PAC ID | 4789012618 |
|---|---|
| Medicare Enrollment ID | O20200306002421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144863929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah M Brisebois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992076061 PECOS PAC ID: 8729397807 Enrollment ID: I20151013001297 |
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