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General NPI Number Information
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NPI Number | 1417425836
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Entity Type | Organization
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Legal Business Name | BRIGHTENING MINDS CMHC LLC
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Dates
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Enumeration Date | 11/03/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 6600 TAFT ST # 305-306
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City | HOLLYWOOD
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State | FL
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Zip | 33024-4040
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Country | US
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Telephone | 786-281-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 TAFT ST STE 305-306
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City | HOLLYWOOD
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State | FL
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Zip | 33024-4040
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Country | US
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Telephone | 786-281-1070
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Fax | 305-397-2513
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Authorized Official
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Title or Position | CEO
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Name | SORAYA FERNANDEZ
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Credential | LMHC
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Telephone | 786-281-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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