Organization
BRILLIANCE PSYCHIATRY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL R RUCKER DNP, PMHNP-BC (OWNER)
(706) 436-7101
Entity
Organization
Contact information
Practice address
1 OLYMPIC PL, TOWSON, MD 21204-4104
(443) 767-4053
Mailing address
1443 ROCK SPRING RD UNIT 190, BEL AIR, MD 21014-1920
(443) 767-4053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/18/2025
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