Provider Demographics
NPI:1932716834
Name:BRIGHTSIDE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BRIGHTSIDE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-271-0842
Mailing Address - Street 1:4810 S BAHAMA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4917
Mailing Address - Country:US
Mailing Address - Phone:720-271-0842
Mailing Address - Fax:720-923-2321
Practice Address - Street 1:5650 GREENWOOD PLAZA BLVD STE 145
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2313
Practice Address - Country:US
Practice Address - Phone:303-353-9226
Practice Address - Fax:720-923-2321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTSIDE COUNSELING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000174335Medicaid