Provider Demographics
NPI:1730786146
Name:BRIGHTER PERSPECTIVES COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:BRIGHTER PERSPECTIVES COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CONICKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS
Authorized Official - Phone:980-689-1809
Mailing Address - Street 1:3020 PROSPERITY CHURCH RD STE I
Mailing Address - Street 2:#945
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8100
Mailing Address - Country:US
Mailing Address - Phone:980-689-1809
Mailing Address - Fax:
Practice Address - Street 1:3020 PROSPERITY CHURCH RD STE I
Practice Address - Street 2:#945
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-8100
Practice Address - Country:US
Practice Address - Phone:980-689-1809
Practice Address - Fax:980-326-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251S00000XAgenciesCommunity/Behavioral Health