MEDICARE: COLLABORATIVE MENTAL HEALTH, LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1215802624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLABORATIVE MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	4 PLEASANT DR
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-8606
Country	:	US
Telephone Number	:	919-918-0534
Fax Number	:	919-913-9112

Provider Business Practice Location Address
First Line	:	4 PLEASANT DR
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-8606
Country	:	US
Telephone Number	:	919-918-0534
Fax Number	:	919-913-9112

Authorized Official
Title or Position	:	PRACTITIONER/PROPRIETOR
Name	:	MR. JOHN MAURICE BRION
Credential	:	PHD, PMHNP-BC
Telephone Number	:	919-918-0534

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	12/01/2025

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