| Brightlife Counseling Llc | |
|
22043 Jordan Ln Richton Park IL 60471-1269 | |
| (888) 765-4465 | |
| Not Available |
| Full Name | Brightlife Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22043 Jordan Ln, Richton Park, Illinois |
| Authorized Official Name and Position | Alexa Thompson (OWNER) |
| Authorized Official Contact | 8887654465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightlife Counseling Llc 47 Champagne Dr Lake Saint Louis MO 63367-1605 Ph: (888) 765-4465 | Brightlife Counseling Llc 22043 Jordan Ln Richton Park IL 60471-1269 Ph: (888) 765-4465 |
| NPI Number | 1336872449 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336872449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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