<Unavail>

LBN: Brightside Lcsw Services, Pllc
<Unavail> is an health care organization with primary practice located at 40 Gardenville Pkwy Ste 213 , West Seneca NY 14224-1399. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Brightside Lcsw Services, Pllc can be contacted via phone (716) 783-0407, or through Fanara, Charmaine Ann via phone (716) 783-0407.

Contact Information

Primary practice address
40 Gardenville Pkwy Ste 213 West Seneca NY 14224-1399
Phone: (716) 783-0407
Fax: (716) 393-3430
Website:
Map and Directions
Authorized official contact:
Name: Fanara, Charmaine Ann LCSWR
Phone: (716) 783-0407

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 071265-1 New York

Profile Details

NPI number 1871884460
LBN Legal business name Brightside Lcsw Services, Pllc
DBA Doing business as <Unavail>
Authorized official Fanara, Charmaine Ann LCSWR
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2011
Last updated Apr 18th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871884460 NPPES
New York MEDICAID 05054586

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