Brilliant Minds LLC
Community/Behavioral Health in Highland, IN. Organization (NPI-2).
NPI number1093652257
StatusActive
Last updated in NPPESMay 4, 2026
Details
- NPI
- 1093652257
- Entity type
- Organization (NPI-2)
- Legal business name
- Brilliant Minds LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2026
- Certification date
- May 4, 2026
- Last updated
- May 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2631 45th StHighland, IN 46322-2902
Phone 219-515-0456
Mailing address
2631 45th StHighland, IN 46322-2902
Authorized official
Carissa Fessenden
Rbt
2195016520
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