Healthcare Provider Details

I. General information

NPI: 1659193548
Provider Name (Legal Business Name): BRIGHTMINDS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32600 CHERRY HILL RD
GARDEN CITY MI
48135-3228
US

IV. Provider business mailing address

451 N MARTHA ST
DEARBORN MI
48128-1821
US

V. Phone/Fax

Practice location:
  • Phone: 313-502-8887
  • Fax:
Mailing address:
  • Phone: 313-932-1991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIAM CHEIKH
Title or Position: OWNER
Credential:
Phone: 313-932-1991