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Contact Information

BRILLIANCE BEHAVIORAL HEALTH
16701 MELFORD BLVD STE 400
BOWIE, MD20715-4411
 Phone: 301-852-8177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRILLIANCE BEHAVIORAL HEALTH

NPI # 1679279327
LBN Legal business name BRILLIANCE BEHAVIORAL HEALTH
Authorized official RAQUEL GORDON - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2023
Last updated 02/03/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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