| Organization Name: | BRIGHTSIDE COUNSELING LLC |
| NPI Number: | 1649556770 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW MARK ALBRIGHT (PROFESSIONAL COUNSELOR/OWNER) |
| Mailing Address: | 701 Cross Road Lederach |
| State: | PA US |
| Postal Code: | 19450 |
| Phone Number: | 2152642272 |
| Fax Number: | 2152561112 |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 03/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC005188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |