Provider Demographics
NPI:1871337345
Name:BRAIN HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:BRAIN HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:312-978-7848
Mailing Address - Street 1:3821 WOODBRIAR TRL STE 105
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-9615
Mailing Address - Country:US
Mailing Address - Phone:312-978-7848
Mailing Address - Fax:
Practice Address - Street 1:3821 WOODBRIAR TRL STE 105
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-9615
Practice Address - Country:US
Practice Address - Phone:312-978-7848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty