Provider Demographics
NPI:1427835933
Name:UNIQUE MINDS BRIGHT FUTURES LLC
Entity type:Organization
Organization Name:UNIQUE MINDS BRIGHT FUTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-824-0045
Mailing Address - Street 1:301 SW 86TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1485
Mailing Address - Country:US
Mailing Address - Phone:646-824-0045
Mailing Address - Fax:
Practice Address - Street 1:301 SW 86TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-1485
Practice Address - Country:US
Practice Address - Phone:646-824-0045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty