Provider Demographics
NPI:1740175496
Name:BRILLIANT MINDS SOLUTIONS LLP
Entity type:Organization
Organization Name:BRILLIANT MINDS SOLUTIONS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DESHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINES-LEAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-410-9438
Mailing Address - Street 1:6232 MERGER DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9593
Mailing Address - Country:US
Mailing Address - Phone:419-410-9438
Mailing Address - Fax:
Practice Address - Street 1:6232 MERGER DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9593
Practice Address - Country:US
Practice Address - Phone:419-410-9438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No252Y00000XAgenciesEarly Intervention Provider Agency
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)