| Brightside Behavioral Health, Llc | |
|
469 Centerville Rd Suite 101 Warwick RI 02886-4354 | |
| (954) 658-9482 | |
| Not Available |
| Full Name | Brightside Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 469 Centerville Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Hallie Fleischman (OWNER) |
| Authorized Official Contact | 9546589482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Behavioral Health, Llc 469 Centerville Rd Suite 101 Warwick RI 02886-4354 Ph: () - | Brightside Behavioral Health, Llc 469 Centerville Rd Suite 101 Warwick RI 02886-4354 Ph: (954) 658-9482 |
| NPI Number | 1255872206 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 4981048501 |
|---|---|
| Medicare Enrollment ID | O20240221004064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255872206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC00715 (Rhode Island) | Primary |
| Provider Name | Jessica Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932200763 PECOS PAC ID: 5698851442 Enrollment ID: I20080319000623 |
| Provider Name | Janelle Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811388283 PECOS PAC ID: 3577880053 Enrollment ID: I20150320001527 |
| Provider Name | Sofia I Irons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891206678 PECOS PAC ID: 5799029005 Enrollment ID: I20181127002201 |
| Provider Name | Hallie Fleischman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720331747 PECOS PAC ID: 8426492042 Enrollment ID: I20241016002503 |
| Provider Name | Matthew M Dunton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316574510 PECOS PAC ID: 3476085226 Enrollment ID: I20241017001934 |
| Provider Name | Hannah Nicole Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184349094 PECOS PAC ID: 0840723284 Enrollment ID: I20241024000406 |
| Provider Name | Patricia Carol Gauthier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295326718 PECOS PAC ID: 6204369044 Enrollment ID: I20241031002067 |
| Provider Name | Karen Hancock Camp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467042630 PECOS PAC ID: 6204369069 Enrollment ID: I20241031002581 |
| Provider Name | Dhienica R Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629713276 PECOS PAC ID: 5799219861 Enrollment ID: I20241112002109 |
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