Organization Active NPI

Bright Light Counseling & Coaching, LLC

  • Community/Behavioral Health Agency
  • Snellville, GA
National Provider Identifier
1942968425
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHT LIGHT COUNSELING & COACHING, LLC
Practice address
2140 McGee Rd Ste A4200
Snellville, GA 30078-7051
Phone
(470) 502-5381
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimlyn FrettNPI 1619568151
Title
Owner/Psychotherapist
Phone
(404) 468-3160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2140 McGee Rd Ste A4200
Snellville, GA 30078-7051

Mailing address

705 Stonebridge Park Cir
Lithonia, GA 30058-9047
Phone (404) 468-3160

National Provider Directory

National Provider Directory

Locations

2140 McGee Rd
Ste A4200
Snellville, GA 30078
Phone (470) 502-5381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1942968425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 STONEBRIDGE PARK CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589047",
            "telephone_number": "404-468-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MCGEE RD STE A4200",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787051",
            "telephone_number": "470-502-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT COUNSELING & COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "FRETT",
        "authorized_official_first_name": "KIMLYN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-468-3160"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.