Brilliant Arrows LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRILLIANT ARROWS LLC

Doing business as

Brilliant Arrows LLC

Practice address

3612 W Dunlap Ave Suite B
Phoenix, AZ 85051

Phone

(602) 469-9466

NPI assigned

May 8, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Stark

Title

Partner/Owner

Phone

(317) 225-0489

Specialties & licenses 2

Addresses

Other names 1

• BRILLIANT ARROWS LLC Doing business as

Locations

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1215626981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 W DUNLAP AVE SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "602-469-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 W DUNLAP AVE SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "602-469-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT ARROWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "317-225-0489"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRILLIANT ARROWS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRILLIANT ARROWS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lori Kim Brill, PSYD
• Frederick Joseph Brillas, D.C.
• Brilliant Care LLC
• Brilliant Mind Wellness LLC (Forever Home)
• Sean Joseph Brimacombe, MD
• Brime Care LLC
• Aimee Brimhall, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.