Organization
BRILLIANT CARE LLC
Active
Organization
BRILLIANT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOVIA BASALIZA (CEO)
(240) 559-7617
Entity
Organization
Contact information
Practice address
3612 W DUNLAP AVE STE E, PHOENIX, AZ 85051-5300
(602) 315-9529
Mailing address
3612 W DUNLAP AVE STE E, PHOENIX, AZ 85051-5300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
02/11/2026
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