| Brave Transitions | |
|
2975 W Executive Pkwy Ste 277 Lehi UT 84043-9642 | |
| (310) 774-1889 | |
| Not Available |
| Full Name | Brave Transitions |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2975 W Executive Pkwy Ste 277, Lehi, Utah |
| Authorized Official Name and Position | Kendall Manwill (OWNER) |
| Authorized Official Contact | 3107741889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Transitions 1440 E 140 S Pleasant Grove UT 84062-3048 Ph: (310) 774-1889 | Brave Transitions 2975 W Executive Pkwy Ste 277 Lehi UT 84043-9642 Ph: (310) 774-1889 |
| NPI Number | 1538901665 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538901665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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