Provider Demographics
NPI:1134910540
Name:MENDAL BRILL, EVELYN (LMHC)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:MENDAL BRILL
Suffix:
Gender:X
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 GOLDEN BEACH DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2980 NE 207TH ST STE 701
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1465
Practice Address - Country:US
Practice Address - Phone:305-965-3341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11553101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health