| Brave Minds Counseling Llc | |
|
3122 Mahan Dr Ste 801-318 Tallahassee FL 32308-2500 | |
| (850) 848-7162 | |
| Not Available |
| Full Name | Brave Minds Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3122 Mahan Dr Ste 801-318, Tallahassee, Florida |
| Authorized Official Name and Position | Melissa Leah Malone (OWNER/THERAPIST) |
| Authorized Official Contact | 8508487162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Minds Counseling Llc 3122 Mahan Dr Ste 801-318 Tallahassee FL 32308-2500 Ph: (850) 848-7162 | Brave Minds Counseling Llc 3122 Mahan Dr Ste 801-318 Tallahassee FL 32308-2500 Ph: (850) 848-7162 |
| NPI Number | 1477234219 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 3971950858 |
|---|---|
| Medicare Enrollment ID | O20231115000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477234219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melissa L Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043633514 PECOS PAC ID: 4880041763 Enrollment ID: I20231115000305 |
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