Provider Demographics
NPI:1639799661
Name:BRIGHT LIGHT COUNSELING PLLC
Entity type:Organization
Organization Name:BRIGHT LIGHT COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARTHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:910-733-2155
Mailing Address - Street 1:112 W 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-1508
Mailing Address - Country:US
Mailing Address - Phone:910-802-2008
Mailing Address - Fax:
Practice Address - Street 1:112 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-1508
Practice Address - Country:US
Practice Address - Phone:910-802-2008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children