Provider Demographics
NPI:1649736513
Name:BRIGHTER POSSIBILITIES CHILD AND FAMILY COUNSELING LLC
Entity Type:Organization
Organization Name:BRIGHTER POSSIBILITIES CHILD AND FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-453-0105
Mailing Address - Street 1:1007 W BROADWAY AVE # 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2503
Mailing Address - Country:US
Mailing Address - Phone:763-453-0105
Mailing Address - Fax:
Practice Address - Street 1:1007 W BROADWAY AVE # 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2503
Practice Address - Country:US
Practice Address - Phone:763-453-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health