BRILLIANCE REVEALED MENTAL HEALTH, INC. (NPI# 1861987828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861987828 |
| Entity Type | Organization |
| Organization Name | BRILLIANCE REVEALED MENTAL HEALTH, INC. |
| Practice Address |
1700 Pennsylvania Ave Mcdonough GA 30253-9115 |
| Mailing Address |
2336 Hackamore Dr College Park GA 30349-4383 |
| Practice Telephone | 6485070900 |
| Practice Fax Number | 6785070901 |
| Mailing Telephone | 6785070900 |
| Mailing Fax Number | 6785070901 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MRS. EUGENIA LARTEY-ATTIGAH (OWNER) |
| Authorized Official Telephone | 6785070900 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC09991 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BEHAVIORAL HEALTH | 1710487384 | 01 |
| Street Address |
1700 PENNSYLVANIA AVE |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840193 | Sonia Sapp | Counselor | 1700 Pennsylvania Ave, Ste 207, Mcdonough, GA 30253-9115 | 2016-01-30 |
| 1780095950 | A New Level Empowerment and Consultation | Community/Behavioral Health | 1700 Pennsylvania Ave, Suite 207, Mcdonough, GA 30253-9115 | 2014-05-09 |
| 1619218120 | Tanisha Sapp | Counselor | 1700 Pennsylvania Ave, Ste 207, Mcdonough, GA 30253-9115 | 2013-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710544309 | Individual and Family Matters, LLC | Community/Behavioral Health | 821 Pavilion Ct Ste F, Mcdonough, GA 30253-6790 | 2019-05-20 |
| 1801324983 | Rha Health Services Ga LLC | Community/Behavioral Health | 718 Oak Grove Rd, Mcdonough, GA 30253-5345 | 2017-06-01 |
| 1033663034 | A Recovery Place Counseling LLC | Community/Behavioral Health | 162 Keys Ferry St, Mcdonough, GA 30253-3225 | 2016-08-08 |
| 1043677362 | Counseling, Inc. | Community/Behavioral Health | 6230 Winston Trce, Mcdonough, GA 30252-6998 | 2016-01-17 |
| 1073782447 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 403 Saddlecreek Drive, Mcdonough, GA 30253-8916 | 2008-02-29 |
| 1801064746 | Mcintosh Trail Csb | Community/Behavioral Health | 672 Industrial Blvd, Mcdonough, GA 30253-6611 | 2008-02-13 |
| 1467672337 | God's Promise Center, Inc. | Community/Behavioral Health | 211 Bella Vista Ter, Mcdonough, GA 30253-8663 | 2007-04-26 |
| 1396365094 | Beyond Your Ordinary, Inc. | Community/Behavioral Health | 97 Atlanta St Ste 100, Mcdonough, GA 30253-2192 | 2020-04-22 |
| 1902265333 | Sbz Services Unlimited, Inc | Community/Behavioral Health | 125 S Zack Hinton Pkwy, Mcdonough, GA 30253-3335 | 2016-02-12 |
| 1619349065 | The Invisible Counselor, LLC | Community/Behavioral Health | 38 Hampton St, Mcdonough, GA 30253-3173 | 2015-10-26 |
| Find all providers in MCDONOUGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.