Organization
ELIZABETH A BRILL PHD LCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BRILL PHD-LCP (OWNER)
80438656408
Entity
Organization
Contact information
Practice address
6964 FOREST HILL AVE, RICHMOND, VA 23225-1606
(804) 386-5654
(804) 320-8738
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0810003263
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427116946
—
VA
Enumeration date
04/18/2011
Last updated
04/18/2011
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