Provider Demographics
NPI:1851918189
Name:BRIGHT MINDS PSYCHOLOGY CORP
Entity Type:Organization
Organization Name:BRIGHT MINDS PSYCHOLOGY CORP
Other - Org Name:BRIGHT MINDS MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-410-6609
Mailing Address - Street 1:1108 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-4040
Mailing Address - Country:US
Mailing Address - Phone:407-483-3182
Mailing Address - Fax:407-483-3184
Practice Address - Street 1:1108 PLAZA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-4040
Practice Address - Country:US
Practice Address - Phone:407-483-3182
Practice Address - Fax:407-483-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health