Provider Demographics
NPI:1881562783
Name:BRIGHTERMIND PSYCHIATRIC AND WELLNESS SERVICES LLC
Entity type:Organization
Organization Name:BRIGHTERMIND PSYCHIATRIC AND WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DELLY
Authorized Official - Middle Name:BRIGHT
Authorized Official - Last Name:MUKETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-479-5931
Mailing Address - Street 1:11118 SUPERIOR LNDG
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3491
Mailing Address - Country:US
Mailing Address - Phone:240-479-5931
Mailing Address - Fax:
Practice Address - Street 1:11118 SUPERIOR LNDG
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3491
Practice Address - Country:US
Practice Address - Phone:240-479-5931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)