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NPI Code Detail

MEDICARE: DR. BREAHANNAH HILAIRE PHD, LMHC

MEDICARE:  DR. BREAHANNAH  HILAIRE  PHD, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH18317FL

General Provider Information

NPI Number : 1003419706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BREAHANNAH HILAIRE PHD, LMHC
Provider Business Mailing Address
First Line : PO BOX 533524
Second Line :
City : ORLANDO
State : FL
Zip : 32853-3524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1372 SAN DIEGO CT
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-4823
Country : US
Telephone Number : 407-984-6152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 07/07/2023

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Directions to “ DR. BREAHANNAH HILAIRE PHD, LMHC” Practice Location

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