Organization · Type 2 NPI

Brightside Medical of Michigan PC

Community/Behavioral Health Agency · Southlake, TX

NPI number 1144193079 Active

Practice location

950 E. State Hwy 114 Ste 160 Office #119
Southlake, TX 76092-5240

Call (415) 360-3348 Map

Mailing address

2261 Market St Ste 10222
San Francisco, CA 94114-1612

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1144193079

Brightside Medical of Michigan PC's National Provider Identifier is 1144193079, issued on Sep 26, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Southlake, TX. The record was last updated on Sep 26, 2025.