Brightside Counseling Services, Pllc | |
142 Rehobeth Church Rd Clarkton NC 28433-8014 | |
(910) 236-2050 | |
(910) 516-1333 |
Full Name | Brightside Counseling Services, Pllc |
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Speciality | Social Worker |
Location | 142 Rehobeth Church Rd, Clarkton, North Carolina |
Authorized Official Name and Position | Lavenda Teresa Rogers (CEO) |
Authorized Official Contact | 9102362050 |
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 Services, Pllc 142 Rehobeth Church Rd Clarkton NC 28433-8014 Ph: (910) 236-2050 | Brightside Counseling Services, Pllc 142 Rehobeth Church Rd Clarkton NC 28433-8014 Ph: (910) 236-2050 |
NPI Number | 1487414264 |
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Provider Enumeration Date | 03/20/2024 |
Last Update Date | 03/20/2024 |
Certification Date | 03/20/2024 |
Medicare PECOS PAC ID | 1557801040 |
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Medicare Enrollment ID | O20240911001545 |
Identifier | Type | State | Issuer |
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1487414264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lavenda T Rogers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497399513 PECOS PAC ID: 6608316195 Enrollment ID: I20240911002052 |
Stepping Stones Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Edgewood St, Clarkton, NC 28433 Phone: 910-817-1207 | |