Organization · NPI-2

A Child'S Bright Start

Counselor, Mental Health · Greenville, SC

NPI number1013372689

StatusActive

Last updated in NPPESJan 7, 2016

Details

NPI: 1013372689
Entity type: Organization (NPI-2)
Legal business name: A Child'S Bright Start
Organization subpart: No
Enumeration date: Dec 23, 2015
Last updated: Jan 7, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101Y00000X	Counselor	–	–
101YP2500X	Counselor, Professional	–	–
103K00000X	Behavior Analyst	–	–
103T00000X	Psychologist	–	–
103TC1900X	Psychologist, Counseling	–	–
103TM1800X	Psychologist, Intellectual & Developmental Disabilities	–	–
104100000X	Social Worker	–	–
171M00000X	Case Manager/Care Coordinator	–	–
172V00000X	Community Health Worker	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

22 Pleasant Ridge Ave
Greenville, SC 29605-2112

Phone 214-601-6208

Mailing address

22 Pleasant Ridge Ave
Greenville, SC 29605-2112

Phone 214-601-6208

Authorized official

Keinosha Keaton
Owner
2146016208

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