Brilliance Revealed Mental Health, Inc.
Specialty details in registry · Mcdonough, GA
At a glance
1700 Pennsylvania Ave, Mcdonough, GA 30253-9115
NPPES record updated Jun 11, 2019. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1700 Pennsylvania AveMcdonough, GA 30253-9115
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Jun 22, 2018
- Record updated
- Jun 11, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License reported: LPC09991 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1700 Pennsylvania AveMcdonough, GA 30253-9115
- Phone
- (648) 507-0900
- Fax
- (678) 507-0901
Mailing address
2336 HACKAMORE DRCOLLEGE PARK, GA 303494383
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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