| Brightening Minds Cmhc Llc | |
|
6600 Taft St # 305-306 Hollywood FL 33024-4040 | |
| (786) 281-1070 | |
| Not Available |
| Full Name | Brightening Minds Cmhc Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6600 Taft St # 305-306, Hollywood, Florida |
| Authorized Official Name and Position | Soraya Fernandez (CEO) |
| Authorized Official Contact | 7862811070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightening Minds Cmhc Llc 6600 Taft St Ste 305-306 Hollywood FL 33024-4040 Ph: (786) 281-1070 | Brightening Minds Cmhc Llc 6600 Taft St # 305-306 Hollywood FL 33024-4040 Ph: (786) 281-1070 |
| NPI Number | 1417425836 |
|---|---|
| Provider Enumeration Date | 11/03/2018 |
| Last Update Date | 12/07/2019 |
| Certification Date | 12/07/2019 |
| Medicare PECOS PAC ID | 6709283302 |
|---|---|
| Medicare Enrollment ID | O20210924000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417425836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Soraya Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437454394 PECOS PAC ID: 1153728753 Enrollment ID: I20231211001644 |
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