Organization
BRIGHT SIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GUSMAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(504) 813-0951
Entity
Organization
Contact information
Practice address
3301 TOULOUSE ST, NEW ORLEANS, LA 70119-4924
(504) 813-0951
Mailing address
4478 VENUS ST, NEW ORLEANS, LA 70122-4906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4196
LA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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