| Brilliant Minds | |
|
36468 Emerald Coast Pkwy Suite 2101 Destin FL 32541-4799 | |
| (850) 837-1200 | |
| (850) 269-2341 |
| Full Name | Brilliant Minds |
|---|---|
| Speciality | Counselor |
| Location | 36468 Emerald Coast Pkwy, Destin, Florida |
| Authorized Official Name and Position | Gina M Ballone (CLINCAL DIRECTOR) |
| Authorized Official Contact | 8508371200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Minds 36468 Emerald Coast Pkwy Suite 2101 Destin FL 32541 Ph: (850) 837-1200 | Brilliant Minds 36468 Emerald Coast Pkwy Suite 2101 Destin FL 32541-4799 Ph: (850) 837-1200 |
| NPI Number | 1720101736 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720101736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 90051001284 (Florida) | Primary |
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