Organization
BRILLIANT MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA FESSENDEN (RBT)
(219) 501-6520
Entity
Organization
Contact information
Practice address
2631 45TH ST, HIGHLAND, IN 46322-2902
(219) 515-0456
Mailing address
2631 45TH ST, HIGHLAND, IN 46322-2902
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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