Provider Demographics
NPI:1073173175
Name:BRIGHT REFLECTIONS LLC
Entity Type:Organization
Organization Name:BRIGHT REFLECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC,CAADC,SAP,BCT
Authorized Official - Phone:724-221-7484
Mailing Address - Street 1:1602 BROAD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5478
Mailing Address - Country:US
Mailing Address - Phone:724-221-7484
Mailing Address - Fax:
Practice Address - Street 1:1602 BROAD ST STE 1
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5478
Practice Address - Country:US
Practice Address - Phone:724-221-7484
Practice Address - Fax:724-972-4207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC007629OtherLICENSED PROFESSIONAL COUNSELOR LPC
2738OtherBC-TMH BOARD CERTIFIED TELEMENTAL HEALTH PROVIDER
PA8912OtherCERTIFIED ALCOHOL AND DRUG COUNSELOR CAADC