Organization
SONGBIRD PSYCHIATRIC AND RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D BRILL APRN, PMHNP-BC (CEO)
(440) 864-2802
Entity
Organization
Contact information
Practice address
159 CROCKER PARK BLVD FL 4, WESTLAKE, OH 44145-8131
(216) 536-6137
Mailing address
159 CROCKER PARK BLVD STE 400, WESTLAKE, OH 44145-8147
(440) 864-2802
(440) 287-6137
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459960
—
OH
Enumeration date
07/12/2023
Last updated
07/24/2024
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