Organization
BRILLIANT CLINICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA CORNELL BRILL BEARD LCSW (OWNER/CLINICIAN)
(813) 588-9088
Entity
Organization
Contact information
Practice address
522 OAKFIELD DR, BRANDON, FL 33511-5743
(813) 588-9088
(813) 736-2690
Mailing address
522 OAKFIELD DR, BRANDON, FL 33511-5743
(813) 588-9088
(813) 736-2690
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760646178
UNKNOWN
FL
Enumeration date
02/27/2023
Last updated
02/27/2023
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