Active NPIOrganization

Brave Therapy LLC

Counselor, Mental Health in Vineyard Haven, Massachusetts

NPI Number1013642636
Practice location
455 State RD, Vineyard Haven, MA 02568-5695
Fax
—
Last updated
July 18, 2022

Brave Therapy LLC is a healthcare organization based in Vineyard Haven, MA. Brave Therapy LLC practices in Vineyard Haven, MA. The NPI Number for Brave Therapy LLC is 1013642636. The current practice location address for Brave Therapy LLC is 455 State RD, Vineyard Haven, MA 02568-5695 and can be reached out via phone at 508-560-4400.

Provider Profile Details

NPI Number
1013642636
Provider Name
Brave Therapy LLC
Provider Entity Type
Organization
Address
455 State RD, Vineyard Haven, MA 02568-5695
Phone Number
508-560-4400
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Susan Bowen, NBCC · Mental Health Counsel · 508-560-4400
Provider Enumeration Date
July 18, 2022
Last Update Date
July 18, 2022
Certification Date
July 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 State RD
Vineyard Haven, MA 02568-5695
Zip
02568-5695
Phone Number
508-560-4400
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
455 State RD
Vineyard Haven, MA 02568-5695
City
Vineyard Haven
State
MA
Zip
02568-5695
Phone Number
508-560-4400

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brave Therapy LLC?

The NPI number of Brave Therapy LLC is 1013642636. It was assigned on July 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Brave Therapy LLC?

Brave Therapy LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Brave Therapy LLC practice?

The practice location is 455 State RD, Vineyard Haven, MA 02568-5695. The office can be reached at 508-560-4400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013642636 directly on the NPPES registry website.

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