Organization
BRIGHT MINDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANY HERNANDEZ COTA/L (OWNER/THERAPIST)
(305) 335-6468
Entity
Organization
Contact information
Practice address
6275 NW 171ST ST, HIALEAH, FL 33015-4622
(305) 335-6468
Mailing address
6275 NW 171ST ST, HIALEAH, FL 33015-4622
(305) 335-6468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OTA11229
FL
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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