| Brilliance Behavioral Health | |
|
16701 Melford Blvd Ste 400 Bowie MD 20715-4411 | |
| (301) 852-8177 | |
| Not Available |
| Full Name | Brilliance Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 16701 Melford Blvd Ste 400, Bowie, Maryland |
| Authorized Official Name and Position | Raquel Gordon (PSYCHOLOGIST) |
| Authorized Official Contact | 3018528177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliance Behavioral Health 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: () - | Brilliance Behavioral Health 16701 Melford Blvd Ste 400 Bowie MD 20715-4411 Ph: (301) 852-8177 |
| NPI Number | 1679279327 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679279327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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