# BRIGHT MINDS PSYCHOLOGY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619666559
- **Authorized official:** FABIOLA VARGAS (OWNER)
- **Authorized official phone:** (407) 483-3182

## Contact information

- **Practice address:** 102 BUENAVENTURA BLVD, KISSIMMEE, FL 34743-4513
- **Practice address phone:** (407) 483-3182
- **Mailing address:** 2420 PEARL CIDER ST, ORLANDO, FL 32824-4507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113466900 | — | FL |