# SONGBIRD PSYCHIATRIC AND RECOVERY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023797586
- **Authorized official:** KELLY D BRILL APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (440) 864-2802

## Contact information

- **Practice address:** 159 CROCKER PARK BLVD FL 4, WESTLAKE, OH 44145-8131
- **Practice address phone:** (216) 536-6137
- **Mailing address:** 159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
- **Mailing address phone:** (440) 864-2802
- **Mailing address fax:** (440) 287-6137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/24/2024