| Brave Robins Llc | |
|
604 N High St Columbia TN 38401-3216 | |
| (931) 774-0048 | |
| Not Available |
| Full Name | Brave Robins Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 604 N High St, Columbia, Tennessee |
| Authorized Official Name and Position | Diana Casella (OWNER) |
| Authorized Official Contact | 9317740048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Robins Llc 905 Camellia Dr Columbia TN 38401-4640 Ph: (931) 774-0048 | Brave Robins Llc 604 N High St Columbia TN 38401-3216 Ph: (931) 774-0048 |
| NPI Number | 1306677950 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306677950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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