Provider Demographics
NPI:1467046409
Name:BRIGHT SIDE FAMILY COUNSELING, LLC
Entity Type:Organization
Organization Name:BRIGHT SIDE FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ALC
Authorized Official - Phone:251-232-5387
Mailing Address - Street 1:3929 AIRPORT BLVD, BLG 2, SUITE 301
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609
Mailing Address - Country:US
Mailing Address - Phone:251-305-8221
Mailing Address - Fax:
Practice Address - Street 1:3929 AIRPORT BLVD, BLG 2, SUITE 301
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3660
Practice Address - Country:US
Practice Address - Phone:251-305-8221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)