NPI 1013372689 · live from the CMS NPI Registry
A Child'S Bright Start
Counselor, Mental Health in Greenville, SC. National Provider Identifier 1013372689, active.
NPI record
| NPI | 1013372689 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 22 Pleasant Ridge Ave, Greenville, SC 29605 |
| Practice phone | 214-601-6208 |
| Enumerated | December 23, 2015 |
| Last updated | January 7, 2016 |
| Authorized official | Keinosha Keaton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Professional | 101YP2500X | — |
| Behavior Analyst | 103K00000X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | — |
| Social Worker | 104100000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Community Health Worker | 172V00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.