| Bright Mental Therapy Llc | |
|
15600 Sw 288th St Ste 407 Homestead FL 33033-1243 | |
| (786) 674-2256 | |
| Not Available |
| Full Name | Bright Mental Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15600 Sw 288th St Ste 407, Homestead, Florida |
| Authorized Official Name and Position | Klemnys Romero (VICE-PRESIDENT) |
| Authorized Official Contact | 3059280333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Mental Therapy Llc 15600 Sw 288th St Ste 407 Homestead FL 33033-1243 Ph: (786) 674-2256 | Bright Mental Therapy Llc 15600 Sw 288th St Ste 407 Homestead FL 33033-1243 Ph: (786) 674-2256 |
| NPI Number | 1649856089 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Medicare PECOS PAC ID | 4688062433 |
|---|---|
| Medicare Enrollment ID | O20211027001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649856089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Eduardo F Bolumen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174582639 PECOS PAC ID: 3173811239 Enrollment ID: I20161005003075 |
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