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Organization

BRIGHTER HORIZONS COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA GANTZ LCSW (OWNER)
(539) 589-1529
Entity
Organization

Contact information

Practice address
102 N ELM PL STE N, BROKEN ARROW, OK 74012-3883
(539) 589-1529
Mailing address
2928 N FERN CT, BROKEN ARROW, OK 74012-0834
(539) 589-1529

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2715
LCSW LICENSE
OK
Enumeration date
03/11/2022
Last updated
03/18/2024
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