| Brave Counseling And Coaching, Pllc | |
|
8120 Moorsbridge Rd Ste 203 Portage MI 49024-7414 | |
| (269) 389-9643 | |
| Not Available |
| Full Name | Brave Counseling And Coaching, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8120 Moorsbridge Rd Ste 203, Portage, Michigan |
| Authorized Official Name and Position | Jonna Phillips (OWNER) |
| Authorized Official Contact | 2693899643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Counseling And Coaching, Pllc 8120 Moorsbridge Rd Ste 203 Portage MI 49024-7414 Ph: (269) 389-9643 | Brave Counseling And Coaching, Pllc 8120 Moorsbridge Rd Ste 203 Portage MI 49024-7414 Ph: (269) 389-9643 |
| NPI Number | 1942868419 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942868419 | NPI | - | NPPES |
| 1609123132 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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