Provider Demographics
NPI:1861281115
Name:BRIGHTER MIND PLLC
Entity type:Organization
Organization Name:BRIGHTER MIND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:EVARISTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHC
Authorized Official - Phone:704-286-3036
Mailing Address - Street 1:428 E 4TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2434
Mailing Address - Country:US
Mailing Address - Phone:704-286-3036
Mailing Address - Fax:980-495-8907
Practice Address - Street 1:428 E 4TH ST STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2434
Practice Address - Country:US
Practice Address - Phone:704-286-3036
Practice Address - Fax:980-495-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-03
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty