Provider Demographics
NPI:1083161236
Name:BRIGHT SKIES COUNSELING AND CONSULTATION, PLLC
Entity Type:Organization
Organization Name:BRIGHT SKIES COUNSELING AND CONSULTATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:469-708-9380
Mailing Address - Street 1:4645 WYNDHAM LN
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0004
Mailing Address - Country:US
Mailing Address - Phone:469-708-9380
Mailing Address - Fax:
Practice Address - Street 1:4645 WYNDHAM LN
Practice Address - Street 2:SUITE 140
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0004
Practice Address - Country:US
Practice Address - Phone:469-708-9380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532801041C0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty