| Brave Therapy Llc | |
|
455 State Rd Vineyard Haven MA 02568-5695 | |
| (508) 560-4400 | |
| Not Available |
| Full Name | Brave Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 455 State Rd, Vineyard Haven, Massachusetts |
| Authorized Official Name and Position | Susan Bowen (MENTAL HEALTH COUNSEL) |
| Authorized Official Contact | 5085604400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Therapy Llc 455 State Rd Vineyard Haven MA 02568-5695 Ph: (508) 560-4400 | Brave Therapy Llc 455 State Rd Vineyard Haven MA 02568-5695 Ph: (508) 560-4400 |
| NPI Number | 1013642636 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013642636 | NPI | - | NPPES |
| 1285775 | Other | MA | NATIONAL BOARD FOR CERTIFIED COUNSELORS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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