| Brave Within Counseling Llc | |
|
11815 Fountain Way Ste 300 Newport News VA 23606-4448 | |
| (844) 502-7283 | |
| (757) 517-0612 |
| Full Name | Brave Within Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 11815 Fountain Way Ste 300, Newport News, Virginia |
| Authorized Official Name and Position | Hyon J. Bachman (FOUNDER, OWNER) |
| Authorized Official Contact | 7577464357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Within Counseling Llc 969 Lacon Dr Newport News VA 23608-2526 Ph: (757) 746-4357 | Brave Within Counseling Llc 11815 Fountain Way Ste 300 Newport News VA 23606-4448 Ph: (844) 502-7283 |
| NPI Number | 1679172019 |
|---|---|
| Provider Enumeration Date | 10/17/2020 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 7810338381 |
|---|---|
| Medicare Enrollment ID | O20240515001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679172019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Hyon J. Bachman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184081192 PECOS PAC ID: 8729429295 Enrollment ID: I20240515001151 |
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