REIGNITE BRILLIANCE, LLC - NPI 1306692389 - Marriage & Family Therapist in San Diego, CA

Q: What is Reignite Brilliance, LLC's NPI number?

The NPI number for Reignite Brilliance, LLC is 1306692389. It was assigned to this organization in the NPPES registry on April 29, 2024.

Q: What is Reignite Brilliance, LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Reignite Brilliance, Llc NPPES

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

REIGNITE BRILLIANCE, LLC (NPI 1306692389) is a healthcare organization registered as a marriage & family therapist in San Diego, California and active in the NPI registry since April 2024. The organization lists Jeannette Gilmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1306692389

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameREIGNITE BRILLIANCE, LLC

Location Address5252 BALBOA AVE STE 803San Diego, CA 92117-6920

Mailing AddressPo Box 17369San Diego, CA 92177-7369 · (858) 882-7872

Phone(858) 882-7872

Organization SubpartNo

Authorized OfficialJeannette GilmoreOwner · (858) 882-7872

Enumeration DateApril 29, 2024

NPPES CertifiedApril 29, 2024

✔ NPI 1306692389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5252 BALBOA AVE STE 803, San Diego, CA 92117

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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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY W FIELDS PSYD

Psychologist (Clinical)