Provider Demographics
NPI:1417425836
Name:BRIGHTENING MINDS CMHC LLC
Entity Type:Organization
Organization Name:BRIGHTENING MINDS CMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-281-1070
Mailing Address - Street 1:6600 TAFT ST STE 305-306
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-4040
Mailing Address - Country:US
Mailing Address - Phone:786-281-1070
Mailing Address - Fax:305-397-2513
Practice Address - Street 1:6600 TAFT ST # 305-306
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-4040
Practice Address - Country:US
Practice Address - Phone:786-281-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-03
Last Update Date:2019-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health