Provider Demographics
NPI:1841965027
Name:BRILL, ESTHER LEE (LLMSW)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:LEE
Last Name:BRILL
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:LEE
Other - Last Name:CLAES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6468 US HIGHWAY 31 N
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-9416
Mailing Address - Country:US
Mailing Address - Phone:231-838-7304
Mailing Address - Fax:
Practice Address - Street 1:231 STATE ST STE 6
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2785
Practice Address - Country:US
Practice Address - Phone:231-881-9125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511107511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical