BRIGHTSIDE LCSW SERVICES NPI 1063871432

NPI Information

  • NPI: 1063871432
  • Provider Name: BRIGHTSIDE LCSW SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3715 UNION RD
    SWEET 122
    CHEEKTOWAGA, NY
    ZIP 14225
  • Phone: (716) 783-0407

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NPI Details

BRIGHTSIDE LCSW SERVICES is a mental health counselor in Cheektowaga, NY. BRIGHTSIDE LCSW SERVICES NPI is 1063871432. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3715 UNION RD
SWEET 122
CHEEKTOWAGA, NY
ZIP 14225
Phone: (716) 783-0407

The provider's authorized official is Charmaine Fanara .
The authorized official title is Counselor and has the following contact phone number (716) 783-0407.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health004189NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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