Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brightline Wellness LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1518774173

Brightline Wellness LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lakeville, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19933 Itea Ave
Lakeville, MN 55044-5032
Phone: (612) 290-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1518774173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadxi Cabdi — Owner · (682) 553-9305
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address3809 42nd Ave S, Minneapolis, MN 55406-3503

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