| Brightside Counseling Services, Llc | |
|
5650 Greenwood Plaza Blvd Ste 144-145 Greenwood Village CO 80111-2307 | |
| (303) 353-9226 | |
| (720) 923-2321 |
| Full Name | Brightside Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5650 Greenwood Plaza Blvd Ste 144-145, Greenwood Village, Colorado |
| Authorized Official Name and Position | Keith Edmonds (OWNER/OPERATOR) |
| Authorized Official Contact | 7202571752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Counseling Services, Llc 4810 S Bahama Way Aurora CO 80015-4917 Ph: (303) 353-9226 | Brightside Counseling Services, Llc 5650 Greenwood Plaza Blvd Ste 144-145 Greenwood Village CO 80111-2307 Ph: (303) 353-9226 |
| NPI Number | 1457730194 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457730194 | NPI | - | NPPES |
| 9000174335 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11693 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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