Brilliant Minds

Counselor · Destin, FL

Organization Active NPI

NPI number 1720101736

Practice location

36468 Emerald Coast Pkwy
Suite 2101
Destin, FL 32541-4799
Phone
(850) 837-1200
Fax
(850) 269-2341

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NPI record

NPI
1720101736
Entity type
Organization (Type 2)
Enumeration date
April 6, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 90051001284 FL

Mailing address

36468 Emerald Coast Pkwy
Suite 2101
Destin, FL 32541
Phone
(850) 837-1200
Fax
(850) 269-2341

Authorized official

Name
Miss Gina M Ballone
Title
Clincal Director
Phone
(850) 837-1200

About Brilliant Minds

Brilliant Minds is a healthcare organization registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 36468 Emerald Coast Pkwy, Suite 2101, Destin, FL 32541-4799. The NPI number 1720101736 was assigned on April 6, 2007 and the record was last updated on August 22, 2020.

Brilliant Minds lists a license in the registry: #90051001284 (FL) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Miss Gina M Ballone, Clincal Director.

Frequently asked questions

What is the NPI number of Brilliant Minds?

The NPI number is 1720101736.

What is the phone number of Brilliant Minds?

The phone number listed for the practice location is (850) 837-1200.

Where is Brilliant Minds located?

36468 Emerald Coast Pkwy, Suite 2101, Destin, FL 32541-4799.

What is the taxonomy code for Brilliant Minds?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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