BRIGHTEN BAY FL LLC NPI 1568241073

NPI Information

  • NPI: 1568241073
  • Provider Name: BRIGHTEN BAY FL LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • CLIA Number: 10D2292304
  • Address: 5300 NW DUNN ROAD
    FORT PIERCE, FL
    ZIP 34981
  • Phone: (863) 634-3023

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NPI Details

BRIGHTEN BAY FL LLC is a community based residential treatment facility mental illness in Fort Pierce, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BRIGHTEN BAY FL LLC NPI is 1568241073. The provider is registered as an organization entity type.

The provider's business location address is:

5300 NW DUNN ROAD
FORT PIERCE, FL
ZIP 34981
Phone: (863) 634-3023

The provider's authorized official is Donna Wildes .
The authorized official title is Director Of Operations and has the following contact phone number (863) 634-3023.

The CLIA number assigned to this NPI record is 10D2292304 - other - residential treatment fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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