Brightside Counseling | |
50680 County Road 652 Mattawan MI 49071-8735 | |
(269) 336-5505 | |
Not Available |
Full Name | Brightside Counseling |
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Speciality | Social Worker |
Location | 50680 County Road 652, Mattawan, Michigan |
Authorized Official Name and Position | Arlene Giacona (OWNER) |
Authorized Official Contact | 2695990976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brightside Counseling 50680 County Road 652 Mattawan MI 49071-8735 Ph: (269) 336-5505 | Brightside Counseling 50680 County Road 652 Mattawan MI 49071-8735 Ph: (269) 336-5505 |
NPI Number | 1073117081 |
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Provider Enumeration Date | 11/30/2020 |
Last Update Date | 01/03/2023 |
Certification Date | 01/03/2023 |
Medicare PECOS PAC ID | 7113332909 |
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Medicare Enrollment ID | O20210208002044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073117081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Arlene Elizabeth Giacona |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508212697 PECOS PAC ID: 1658606157 Enrollment ID: I20190703002587 |
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