Provider Demographics
NPI:1578378436
Name:UPNORTH BRIGHTER DAYS COUNSELING LLC
Entity type:Organization
Organization Name:UPNORTH BRIGHTER DAYS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BEHAVIORAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRODY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CAADC
Authorized Official - Phone:231-676-4511
Mailing Address - Street 1:2514 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MANCELONA
Mailing Address - State:MI
Mailing Address - Zip Code:49659-9344
Mailing Address - Country:US
Mailing Address - Phone:231-676-4511
Mailing Address - Fax:
Practice Address - Street 1:2514 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MANCELONA
Practice Address - State:MI
Practice Address - Zip Code:49659-9344
Practice Address - Country:US
Practice Address - Phone:231-676-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health