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General NPI Number Information
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NPI Number | 1164375432
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Entity Type | Organization
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Legal Business Name | BRLVANT BEHAVIORAL HEALTH SERVICES AND LIFE COACHING, PLLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 136 BRINKLEY PARK CT
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City | MOUNT HOLLY
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State | NC
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Zip | 28120-3019
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Country | US
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Telephone | 704-718-8473
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Fax |
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Provider Business Mailing Address
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Address Line | 14316 REESE BLVD W STE B-1759
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7959
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Country | US
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Telephone | 704-718-8473
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DONIELLE TESHOWEL CREAMER
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Credential | PMHNP-BC
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Telephone | 704-718-8473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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