BRIGHTLINE WELLNESS LLC NPI 1518774173

NPI Information

  • NPI: 1518774173
  • Provider Name: BRIGHTLINE WELLNESS LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 19933 ITEA AVE
    LAKEVILLE, MN
    ZIP 55044
  • Phone: (612) 290-4698

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NPI Details

BRIGHTLINE WELLNESS LLC is an adult mental health clinic center in Lakeville, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BRIGHTLINE WELLNESS LLC NPI is 1518774173. The provider is registered as an organization entity type.

The provider's business location address is:

19933 ITEA AVE
LAKEVILLE, MN
ZIP 55044-032
Phone: (612) 290-4698

The provider's authorized official is Fadxi Cabdi .
The authorized official title is Owner and has the following contact phone number (682) 553-9305.

The enumeration date for this NPI number is 12/16/2024 and was last updated on 12/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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