Organization
BRIGHTSIDE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDMONDS (OWNER/OPERATOR)
(720) 257-1752
Entity
Organization
Contact information
Practice address
5650 GREENWOOD PLAZA BLVD STE 144-145, GREENWOOD VILLAGE, CO 80111-2307
(303) 353-9226
(720) 923-2321
Mailing address
4810 S BAHAMA WAY, AURORA, CO 80015-4917
(303) 353-9226
(720) 923-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11693
CO
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000174335
—
CO
Enumeration date
05/27/2015
Last updated
04/22/2022
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