Provider Demographics
NPI:1912620741
Name:BRIGHTER PROSPECTS COUPLES COUNSELING, PLLC
Entity Type:Organization
Organization Name:BRIGHTER PROSPECTS COUPLES COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST ASSOC
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:704-290-6082
Mailing Address - Street 1:5408 MACROOM CT
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-0600
Mailing Address - Country:US
Mailing Address - Phone:704-900-4452
Mailing Address - Fax:
Practice Address - Street 1:16607 RIVERSTONE WAY STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-5750
Practice Address - Country:US
Practice Address - Phone:704-290-6082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty