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Contact Information

BRIGHTWATER WELLNESS, LLC
300 S MAIN ST STE 212
HOLLY SPRINGS, NC27540-4201
 Phone: 919-295-6485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BRIGHTWATER WELLNESS LLC · (Female)

NPI # 1356072391
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2022
Last updated 06/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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