Organization
BRIGHT SIDE MOOD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DONNENWIRTH LISW (OWNER)
(419) 281-2123
Entity
Organization
Contact information
Practice address
19 W MAIN ST STE 16, ASHLAND, OH 44805-2220
(419) 281-2123
Mailing address
972 STATE ROUTE 545, ASHLAND, OH 44805-9710
(419) 281-2123
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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