Provider Demographics
NPI:1316403835
Name:BRIGHTER VISIONS COUNSELING
Entity Type:Organization
Organization Name:BRIGHTER VISIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBIASE
Authorized Official - Suffix:
Authorized Official - Credentials:MSNCCLPC
Authorized Official - Phone:570-817-8532
Mailing Address - Street 1:1846 MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-1489
Mailing Address - Country:US
Mailing Address - Phone:570-817-8532
Mailing Address - Fax:
Practice Address - Street 1:1846 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:SHAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18708-1489
Practice Address - Country:US
Practice Address - Phone:570-817-8532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty