Brilliant Minds is a Counselor in Destin, Florida. Brilliant Minds practices all healthcare services and medical treatments related to Counselor. The NPI Number for Brilliant Minds is 1720101736. The last update date is 2020-08-22.
Brilliant Minds's current location address is 36468 Emerald Coast Pkwy, Destin, Florida. You can contact this provider via phone number 8508371200 and fax number 8502692341. The mailing address for Brilliant Minds is 36468 Emerald Coast Pkwy, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brilliant Minds |
|---|---|
| Address | 36468 Emerald Coast Pkwy, Destin, Florida |
| Phone Number | 8508371200 |
| Fax Number | 8502692341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINCAL DI |
|---|---|
| Authorized Official Name | Ballone M Gina |
| Telephone Number | 8508371200 |
NPI Number Detail
| NPI Number | 1720101736 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 36468 Emerald Coast Pkwy |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 32541 |
| Phone Number | 8508371200 |
| Fax Number | 8502692341 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 90051001284 |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brilliant Minds by the Centers for Medicare & Medicaid Services?
The Brilliant Minds has been issued the NPI (National Provider Identifier) 1720101736 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brilliant Minds's facilities are geographically located?
The facilities of Brilliant Minds are physically situated at the following location: 36468 Emerald Coast Pkwy, Destin, FL, 32541.
What is Brilliant Minds's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brilliant Minds's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Brilliant Minds receive its 1720101736 assignment from the Centers for Medicare & Medicaid Services?
The Brilliant Minds was assigned its 1720101736 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the Brilliant Minds's information last updated?
The Brilliant Minds's information was last updated on 2020-08-22.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA