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General NPI Number Information
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NPI Number | 1740175496
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Entity Type | Organization
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Legal Business Name | BRILLIANT MINDS SOLUTIONS LLP
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 6232 MERGER DR
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City | HOLLAND
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State | OH
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Zip | 43528-9593
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Country | US
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Telephone | 419-410-9438
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Fax |
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Provider Business Mailing Address
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Address Line | 6232 MERGER DR
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City | HOLLAND
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State | OH
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Zip | 43528-9593
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Country | US
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Telephone | 419-410-9438
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Fax |
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Authorized Official
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Title or Position | HEALTH CARE ADMINISTRATOR
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Name | DESHRA VINES-LEAK
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Credential |
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Telephone | 419-410-9438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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