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General NPI Number Information
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NPI Number | 1134910540
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Entity Type | Individual
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Provider Name | EVELYN MENDAL BRILL LMHC
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Gender |
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2980 NE 207TH ST STE 701
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City | AVENTURA
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State | FL
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Zip | 33180-1465
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Country | US
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Telephone | 305-965-3341
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Fax |
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Provider Business Mailing Address
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Address Line | 199 GOLDEN BEACH DR
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City | GOLDEN BEACH
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State | FL
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Zip | 33160-2223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11553
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License Number State | FL
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