Provider Demographics
NPI:1184791832
Name:BRILL, LORRAINE S (LMHC)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:S
Last Name:BRILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-1554
Mailing Address - Country:US
Mailing Address - Phone:413-446-0140
Mailing Address - Fax:
Practice Address - Street 1:13 WALDEN LN
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1554
Practice Address - Country:US
Practice Address - Phone:413-446-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA287856632OtherUNITED BEHAVIORAL HEALTH
MALM1151OtherBLUE CROSS BLUE SHIELD
MA31648OtherHEALTH NEW ENGLAND
MALBRILL12OtherCIGNA
MA357910OtherMHN