Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brightside Psychology & Internal Medicine LLC

Organization Mental Health Counselor · NPI 1376846584

Brightside Psychology & Internal Medicine LLC is a Mental Health Counselor in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1277 N Semoran Blvd Ste 107
Orlando, FL 32807-3569
Phone: (407) 601-7748
Fax: (407) 601-7749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY7638 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH10506 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY7723 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence PY8298 (FL)
Specialist Taxonomy 174400000X · Licence ME110882 (FL)

Record details

NPI number1376846584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamir Marrero — President · (407) 601-7748
NPI enumeratedDecember 9, 2010
Last updated in NPPESFebruary 3, 2012
Mailing address1277 N Semoran Blvd, Suite 107, Orlando, FL 32807-3569

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