Brighter Mind Care | |
245 Bayville Ave Bayville NJ 08721-1050 | |
(732) 731-9617 | |
Not Available |
Full Name | Brighter Mind Care |
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Speciality | Counselor |
Location | 245 Bayville Ave, Bayville, New Jersey |
Authorized Official Name and Position | Azeez Arowolo (OWNER) |
Authorized Official Contact | 7327319617 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brighter Mind Care 245 Bayville Ave Bayville NJ 08721-1050 Ph: () - | Brighter Mind Care 245 Bayville Ave Bayville NJ 08721-1050 Ph: (732) 731-9617 |
NPI Number | 1154143709 |
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Provider Enumeration Date | 10/25/2024 |
Last Update Date | 11/13/2024 |
Certification Date | 11/13/2024 |
Medicare PECOS PAC ID | 4880128933 |
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Medicare Enrollment ID | O20241112001218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154143709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Alexis Dominguez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487171567 PECOS PAC ID: 9234663386 Enrollment ID: I20241112001306 |
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Ocean Mental Health Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Atlantic City Blvd, Bayville, NJ 08721 Phone: 732-349-1977 Fax: 732-349-0841 | |
Ocean Mental Health Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Atlantic City Blvd, Bayville, NJ 08721 Phone: 732-349-1977 Fax: 732-349-0841 | |
Ocean Mental Health Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 160 Atlantic City Blvd, Bayville, NJ 08721 Phone: 732-349-1977 Fax: 732-349-0841 | |