Provider Demographics
NPI:1275420689
Name:NEW START FOR BRIGHT MINDS LLC
Entity type:Organization
Organization Name:NEW START FOR BRIGHT MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:DARIO
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:917-771-9827
Mailing Address - Street 1:638 E 169TH ST # 1314
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2623
Mailing Address - Country:US
Mailing Address - Phone:929-256-5005
Mailing Address - Fax:929-256-5006
Practice Address - Street 1:638 E 169TH ST # 1314
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2623
Practice Address - Country:US
Practice Address - Phone:929-256-5005
Practice Address - Fax:929-256-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty