Healthcare Provider Details

I. General information

NPI: 1053275842
Provider Name (Legal Business Name): BRILLIANT CREATIONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 LONG PRAIRIE RD
FLOWER MOUND TX
75028-1571
US

IV. Provider business mailing address

3921 LONG PRAIRIE RD
FLOWER MOUND TX
75028-1571
US

V. Phone/Fax

Practice location:
  • Phone: 940-448-0487
  • Fax:
Mailing address:
  • Phone: 940-448-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DOUGLASS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 940-448-0487