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BRIGHTLINE WELLNESS LLC
NPI 1518774173
Clinic/Center - Adult Mental Health in Lakeville, MN

Active since December 16, 2024
19933 ITEA AVE, LAKEVILLE, MN 55044(612) 290-4698 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brightline Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTLINE WELLNESS LLC (NPI 1518774173) is a healthcare organization registered as an adult mental health in Lakeville, Minnesota and active in the NPI registry since December 2024. The organization lists Fadxi Cabdi, Owner, as its authorized official.

NPPES Registry Identity

NPI1518774173
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBRIGHTLINE WELLNESS LLC
Location Address19933 ITEA AVELakeville, MN 55044-5032
Mailing Address3809 42nd Ave SMinneapolis, MN 55406-3503
Phone(612) 290-4698
Organization SubpartNo
Authorized OfficialFadxi CabdiOwner · (682) 553-9305
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1518774173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
19933 ITEA AVE, Lakeville, MN 55044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightline Wellness LLC's NPI number?

The NPI number for Brightline Wellness LLC is 1518774173. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Brightline Wellness LLC located?

Brightline Wellness LLC is located at 19933 Itea Ave, Lakeville, MN 55044. The listed phone number is (612) 290-4698.

What is Brightline Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Brightline Wellness LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.