Brilliance Revealed Mental Health, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC09991 Issued in GA

Legal business name

BRILLIANCE REVEALED MENTAL HEALTH, INC.

Practice address

1700 Pennsylvania Ave
McDonough, GA 30253-9115

Phone

(648) 507-0900

Fax

(678) 507-0901

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Eugenia Lartey-Attigah, LPCNPI 1710487384

Title

Owner

Phone

(678) 507-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugenia Awkele Lartey-Attigah, LPC

  • Mental Health Counselor
  • Stockbridge, GA
  • NPI 1710487384
  NPD Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1861987828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 HACKAMORE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494383",
            "telephone_number": "678-507-0900",
            "fax_number": "678-507-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539115",
            "telephone_number": "648-507-0900",
            "fax_number": "678-507-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANCE REVEALED MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LARTEY-ATTIGAH",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-507-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC09991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "1710487384",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.