Brightsoul Behavioral & Medical Healthcare

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE

Practice address

6100 Lake Ellenor Dr Ste 205
Orlando, FL 32809-4632

Phone

(407) 412-6652

Fax

(407) 412-6668

NPI assigned

Apr 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Esther Luc Pelissier, PMHNP

Title

Aprn

Phone

(407) 412-6652

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1114669991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 WINNETKA CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328185325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DR STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632",
            "telephone_number": "407-412-6652",
            "fax_number": "407-412-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "PELISSIER",
        "authorized_official_first_name": "ESTHER LUC",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "407-412-6652",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yomary Brignoni Marrero
• Bianca Del Mar Brignoni
• Chad Briley

• Psychiatric/Mental Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.