| Brave Hearts Llc | |
|
1137 N Main St O Fallon MO 63366-1498 | |
| (636) 336-6165 | |
| Not Available |
| Full Name | Brave Hearts Llc |
|---|---|
| Speciality | Counselor |
| Location | 1137 N Main St, O Fallon, Missouri |
| Authorized Official Name and Position | Jeffrey Mcdonnell (CEO) |
| Authorized Official Contact | 6363995367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Hearts Llc 4 Country View Ct Wentzville MO 63385-2321 Ph: (636) 399-5367 | Brave Hearts Llc 1137 N Main St O Fallon MO 63366-1498 Ph: (636) 336-6165 |
| NPI Number | 1265242663 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265242663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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