Organization
BRIGHT LIGHT COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIAZIZ HASSAN HIRSI (CEO AND PRESIDENT)
(651) 283-4745
Entity
Organization
Contact information
Practice address
8200 HUMBOLDT AVE S, SUITE 301, BLOOMINGTON, MN 55431-1433
(651) 283-4745
Mailing address
8200 HUMOLDT AVE SOUTH, 301, BLOOMINGTON, MN 55431
(651) 283-4745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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