Provider Demographics
NPI:1073117081
Name:BRIGHTSIDE CONSULTING LLC
Entity Type:Organization
Organization Name:BRIGHTSIDE CONSULTING LLC
Other - Org Name:BRIGHTSIDE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIACONA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-599-0976
Mailing Address - Street 1:50680 COUNTY ROAD 652
Mailing Address - Street 2:
Mailing Address - City:MATTAWAN
Mailing Address - State:MI
Mailing Address - Zip Code:49071-8735
Mailing Address - Country:US
Mailing Address - Phone:269-336-5505
Mailing Address - Fax:
Practice Address - Street 1:50680 COUNTY ROAD 652
Practice Address - Street 2:
Practice Address - City:MATTAWAN
Practice Address - State:MI
Practice Address - Zip Code:49071-8735
Practice Address - Country:US
Practice Address - Phone:269-336-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty