| Brave Counseling and Psychiatry | |
|
2100 Forum Blvd Ste C-2 Columbia MO 65203-5436 | |
| (573) 862-6992 | |
| Not Available |
| Full Name | Brave Counseling and Psychiatry |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2100 Forum Blvd Ste C-2, Columbia, Missouri |
| Authorized Official Name and Position | Elizabeth Hocker (OWNER) |
| Authorized Official Contact | 5738236992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Counseling and Psychiatry 203 Johnson Ct Ashland MO 65010-9473 Ph: (573) 862-6992 | Brave Counseling and Psychiatry 2100 Forum Blvd Ste C-2 Columbia MO 65203-5436 Ph: (573) 862-6992 |
| NPI Number | 1750939864 |
|---|---|
| Provider Enumeration Date | 09/01/2019 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750939864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Secondary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
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