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BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE
NPI 1114669991
Nurse Practitioner - Psychiatric/Mental Health in Orlando, FL

Active since April 11, 2022
6100 LAKE ELLENOR DR STE 205, ORLANDO, FL 32809(407) 412-6652(407) 412-6668 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2022, Apr 11, 2022 (2 updates tracked since 2022).

About Brightsoul Behavioral & Medical Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE (NPI 1114669991) is a healthcare organization registered as a psychiatric/mental health in Orlando, Florida and active in the NPI registry since April 2022. The organization lists Esther Luc Pelissier, Aprn, as its authorized official.

NPPES Registry Identity

NPI1114669991
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE
Location Address6100 LAKE ELLENOR DR STE 205Orlando, FL 32809-4632
Mailing Address2098 Winnetka CtOrlando, FL 32818-5325
Phone(407) 412-6652
Fax(407) 412-6668
Organization SubpartNo
Authorized OfficialEsther Luc PelissierAprn · (407) 412-6652
Enumeration DateApril 11, 2022
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1114669991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6100 LAKE ELLENOR DR STE 205, Orlando, FL 32809
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightsoul Behavioral & Medical Healthcare's NPI number?

The NPI number for Brightsoul Behavioral & Medical Healthcare is 1114669991. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Brightsoul Behavioral & Medical Healthcare located?

Brightsoul Behavioral & Medical Healthcare is located at 6100 Lake Ellenor Dr Ste 205, Orlando, FL 32809. The listed phone number is (407) 412-6652.

What is Brightsoul Behavioral & Medical Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Brightsoul Behavioral & Medical Healthcare was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.