Provider Demographics
NPI:1205028081
Name:A BRIGHTER DAY COUNSELING AND FAMILY SERVICES
Entity Type:Organization
Organization Name:A BRIGHTER DAY COUNSELING AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLYTE
Authorized Official - Middle Name:LYDIA
Authorized Official - Last Name:PORTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-833-3038
Mailing Address - Street 1:PO BOX 5338
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30916-5338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3114 AUGUSTA TECH DR
Practice Address - Street 2:SUITE 106
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3300
Practice Address - Country:US
Practice Address - Phone:706-833-3038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty