Organization
BRIGHT LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CAMPANELLI LCSW (OWNER)
(720) 263-0047
Entity
Organization
Contact information
Practice address
1011 MERCURY DR, LAFAYETTE, CO 80026-2771
(720) 263-0047
(720) 306-5232
Mailing address
1011 MERCURY DR, LAFAYETTE, CO 80026-2771
(720) 490-6730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000172052
—
CO
Enumeration date
04/08/2019
Last updated
02/24/2020
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