Individual
SCOTT W. BRILLHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
905 JEFFERSON ST, STE 410, LAFAYETTE, LA 70501-7900
(337) 234-4912
(337) 234-6064
Mailing address
905 JEFFERSON ST, STE 410, LAFAYETTE, LA 70501-7900
(337) 234-4912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1163
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
721384385
TAX IDENTIFICATION NUMBER
LA
Enumeration date
10/04/2006
Last updated
08/09/2018
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