| Brilliant Minds Llc | |
|
1740 Springtime Ct Dyer IN 46311-2185 | |
| (815) 508-5303 | |
| Not Available |
| Full Name | Brilliant Minds Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1740 Springtime Ct, Dyer, Indiana |
| Authorized Official Name and Position | Jenna Oster (OWNER) |
| Authorized Official Contact | 8155085303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Minds Llc 1740 Springtime Ct Dyer IN 46311-2185 Ph: (815) 508-5303 | Brilliant Minds Llc 1740 Springtime Ct Dyer IN 46311-2185 Ph: (815) 508-5303 |
| NPI Number | 1710658380 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710658380 | NPI | - | NPPES |
| 1972882470 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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