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NPI Code Detail

MEDICARE: MISS DREAMA L BRILEY RMHCI

MEDICARE:  MISS DREAMA L BRILEY  RMHCI
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
1101YA0400XAddiction (Substance Use Disorder) Counselor15295FL
2101YM0800XMental Health Counselor15295FL

General Provider Information

NPI Number : 1578074795
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DREAMA L BRILEY RMHCI
Provider Business Mailing Address
First Line : 102 MCGUIRE BLVD
Second Line :
City : INDIAN HARBOUR BEACH
State : FL
Zip : 32937-4006
Country : US
Telephone Number : 860-805-6128
Fax Number :
Provider Business Practice Location Address
First Line : 1227 S PATRICK DR STE 108
Second Line :
City : SATELLITE BEACH
State : FL
Zip : 32937-3969
Country : US
Telephone Number : 321-773-1111
Fax Number : 321-773-1692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2017
Last Update Date : 10/15/2017

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Directions to “ MISS DREAMA L BRILEY RMHCI” Practice Location

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