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

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1043104672

Brilliant Mind Wellness LLC is an Assisted Living Facility (Behavioral Disturbances) in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

149 E Joan D Arc Ave
Phoenix, AZ 85022-4704
Phone: (623) 565-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1043104672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ulysses Laurente — Administrator · (623) 565-3555
Other names Forever Home
NPI enumeratedJune 6, 2025
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address13384 W Rimrock St, Surprise, AZ 85374-5211

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