Provider Demographics
NPI:1720668304
Name:BRIGHTER MINDS THERAPY LLC
Entity type:Organization
Organization Name:BRIGHTER MINDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST REGISTER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:GRACIELA
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:786-683-4391
Mailing Address - Street 1:8463 NW 189TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5372
Mailing Address - Country:US
Mailing Address - Phone:786-683-4391
Mailing Address - Fax:
Practice Address - Street 1:8463 NW 189TH STREET RD
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5372
Practice Address - Country:US
Practice Address - Phone:786-683-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty