Brillante Independent Life
Psychologist, Addiction (Substance Use Disorder) in Lawrence, Massachusetts
1477310522- Practice location
- 439 S Union St Ste 102, Lawrence, MA 01843-2837
- Phone
- 978-898-8878
- Fax
- —
- Last updated
- March 5, 2024
Brillante Independent Life is a healthcare organization based in Lawrence, MA. Brillante Independent Life practices in Lawrence, MA. The NPI Number for Brillante Independent Life is 1477310522. The current practice location address for Brillante Independent Life is 439 S Union St Ste 102, Lawrence, MA 01843-2837 and can be reached out via phone at 978-898-8878.
Provider Profile Details
- NPI Number
- 1477310522
- Provider Name
- Brillante Independent Life
- Provider Entity Type
- Organization
- Address
- 439 S Union St Ste 102, Lawrence, MA 01843-2837
- Phone Number
- 978-898-8878
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Organization Subpart
- No
- Authorized Official
- Maria Ferreras, PHD · Lmhc · 617-455-1623
- Provider Enumeration Date
- March 5, 2024
- Last Update Date
- March 5, 2024
- Certification Date
- March 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 439 S Union St Ste 102
Lawrence, MA 01843-2837 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01843-2837
- Phone Number
- 978-898-8878
Provider Business Mailing Address Details
- Address
- 439 S Union St Ste 102
Lawrence, MA 01843-2837 - City
- Lawrence
- State
- MA
- Zip
- 01843-2837
- Phone Number
- 978-898-8878
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (3)
- Psychologist, Counseling · 103TC1900X
- Taxonomy (4)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Addiction (Substance Use Disorder) providers near Lawrence, MA
View all Psychologist, Addiction (Substance Use Disorder) providers in Lawrence →Frequently Asked Questions
What is the NPI number of Brillante Independent Life?
The NPI number of Brillante Independent Life is 1477310522. It was assigned on March 5, 2024 and is currently active in the NPPES registry.
What is the specialty of Brillante Independent Life?
Brillante Independent Life is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X).
Where does Brillante Independent Life practice?
The practice location is 439 S Union St Ste 102, Lawrence, MA 01843-2837. The office can be reached at 978-898-8878 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477310522 directly on the NPPES registry website.