Most Relevant Information
Provider Data
| NPI Number: | 1003419706 |
| Provider Name: | BREAHANNAH HILAIRE PHD, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH18317 |
Most Important Dates
| Enumeration Date: | 11/17/2020 |
| Last Updated: | 07/07/2023 |
Provider Practice Location
1372 SAN DIEGO CT
WINTER SPRINGS
FL
327084823
Practice Location Phone/Fax
| Phone: | 4079846152 |
| Fax: |
Provider Mailing Location
PO BOX 533524
ORLANDO
FL
328533524
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |