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General NPI Number Information
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NPI Number | 1912792854
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Entity Type | Organization
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Legal Business Name | BRIGHTER MINDS PLLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1408 N BLUFF RD
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City | COLLINSVILLE
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State | IL
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Zip | 62234-7302
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Country | US
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Telephone | 618-610-2788
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Fax | 618-344-9684
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Provider Business Mailing Address
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Address Line | 1408 N BLUFF RD
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City | COLLINSVILLE
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State | IL
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Zip | 62234-7302
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Country | US
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Telephone | 618-610-2788
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AMANDA MICHELLE HEMPHILL
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Credential | FNP-BC
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Telephone | 618-610-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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