Provider Demographics
NPI:1508676305
Name:BRIGHTER MIND CARE LLC
Entity type:Organization
Organization Name:BRIGHTER MIND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AZEEZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:AROWOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-731-9617
Mailing Address - Street 1:25 HARBOR INN RD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-3512
Mailing Address - Country:US
Mailing Address - Phone:863-312-8445
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:863-312-8445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care