Provider Demographics
NPI:1073290300
Name:BRILLON COUNSELING
Entity Type:Organization
Organization Name:BRILLON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:DAWES
Authorized Official - Last Name:BRILLON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:862-215-0325
Mailing Address - Street 1:77 WILDFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-2771
Mailing Address - Country:US
Mailing Address - Phone:862-215-0325
Mailing Address - Fax:
Practice Address - Street 1:77 WILDFLOWER LN
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-2771
Practice Address - Country:US
Practice Address - Phone:862-215-0325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health