Organization
BRIGHT MINDS GROUP HOME LLC
Active
Organization
BRIGHT MINDS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNKLEY (DIRECTOR OF OPERATIONS)
(561) 821-1012
Entity
Organization
Contact information
Practice address
636 SE STOW TER, PORT ST LUCIE, FL 34984-6452
(561) 821-1012
Mailing address
636 SE STOW TER, PORT ST LUCIE, FL 34984-6452
(561) 821-1012
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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