MEDICARE: BRIGHTENING MINDS CMHC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417425836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTENING MINDS CMHC LLC

Provider Business Mailing Address
First Line	:	6600 TAFT ST STE 305-306
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4040
Country	:	US
Telephone Number	:	786-281-1070
Fax Number	:	305-397-2513

Provider Business Practice Location Address
First Line	:	6600 TAFT ST # 305-306
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4040
Country	:	US
Telephone Number	:	786-281-1070
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SORAYA FERNANDEZ
Credential	:	LMHC
Telephone Number	:	786-281-1070

Provider Enumeration Date	:	11/03/2018
Last Update Date	:	08/18/2025

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