# BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE

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

## Provider details

- **NPI number:** 1114669991
- **Authorized official:** ESTHER LUC PELISSIER PMHNP (APRN)
- **Authorized official phone:** (407) 412-6652

## Contact information

- **Practice address:** 6100 LAKE ELLENOR DR STE 205, ORLANDO, FL 32809-4632
- **Practice address phone:** (407) 412-6652
- **Practice address fax:** (407) 412-6668
- **Mailing address:** 2098 WINNETKA CT, ORLANDO, FL 32818-5325

## 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:** 04/11/2022
- **Last updated:** 05/17/2022