Provider Demographics
NPI:1306178066
Name:BRIGHTON, PAMELA W (LMHC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:W
Last Name:BRIGHTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2426
Mailing Address - Country:US
Mailing Address - Phone:508-274-2041
Mailing Address - Fax:
Practice Address - Street 1:MASHPEE COMMON 2 OAK ST.
Practice Address - Street 2:CENTER FOR FAMILY THERAPY
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-274-2041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health