Brighter Side Counseling Llc | |
85 Market St Elgin IL 60123-5083 | |
(847) 264-4655 | |
(847) 264-4934 |
Full Name | Brighter Side Counseling Llc |
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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 |
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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 |
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Provider Enumeration Date | 10/23/2019 |
Last Update Date | 01/12/2025 |
Certification Date | 01/12/2025 |
Medicare PECOS PAC ID | 4789012618 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992076061 PECOS PAC ID: 8729397807 Enrollment ID: I20151013001297 |
Provider Name | Barbara Maulding |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710352422 PECOS PAC ID: 2264870989 Enrollment ID: I20240424003745 |
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