Provider Information for 1629700299
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. KEILAN MARIA BRINONES LCSW
Sex: Female
NPI: 1629700299
Last Updated: 2023-03-08
Certification Date: 2023-03-08
Certification Date: 2023-03-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629700299 | ||||||||
| Enumeration Date | 2022-06-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3777 NW 78TH AVE APT 7F HOLLYWOOD, FL 33024-8390 United States Phone: 315-278-0570 | Fax: | ||||||||
| Primary Practice Address | 3777 NW 78TH AVE APT 7F HOLLYWOOD, FL 33024-8390 United States Phone: 315-278-0570 | Fax: | ||||||||
| Secondary Practice Address(es) | 16040 NW 18TH PL | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|