Provider Demographics
NPI:1952696106
Name:BRIGHT, KIRSTEN MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:MARIE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:MARIE
Other - Last Name:SMOLSKIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:235 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1349
Mailing Address - Country:US
Mailing Address - Phone:789-249-1122
Mailing Address - Fax:877-591-1958
Practice Address - Street 1:235 GREEN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-1349
Practice Address - Country:US
Practice Address - Phone:978-249-1122
Practice Address - Fax:877-591-1958
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA1454106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1005300OtherBEACON
MA110024448CMedicaid
MA110024448COtherMBHP
MA900293OtherTUFTS
MA2222001910OtherBCBS
MA04-2103577OtherUBH