| Braved Behavioral Health Institute Inc | |
|
1135 Pasadena Ave S 111 South Pasadena FL 33707-2887 | |
| (727) 560-0607 | |
| (877) 287-1083 |
| Full Name | Braved Behavioral Health Institute Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1135 Pasadena Ave S, South Pasadena, Florida |
| Authorized Official Name and Position | Jonathan Bragg (ADMINISTRATOR) |
| Authorized Official Contact | 7275600607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braved Behavioral Health Institute Inc 1135 Pasadena Ave S 111 South Pasadena FL 33707-2887 Ph: (727) 560-0607 | Braved Behavioral Health Institute Inc 1135 Pasadena Ave S 111 South Pasadena FL 33707-2887 Ph: (727) 560-0607 |
| NPI Number | 1932584489 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 9739474024 |
|---|---|
| Medicare Enrollment ID | O20160825001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932584489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rosemary O Odocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396902821 PECOS PAC ID: 7416106018 Enrollment ID: I20120925000397 |
Carole Sharman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Pasadena Ave S Ste 302, South Pasadena, FL 33707 Phone: 727-341-0097 Fax: 727-343-6419 | |
John R. Delaney Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Pasadena Ave S, South Pasadena, FL 33707 Phone: 727-344-1476 Fax: 727-344-1477 | |
Wendy Lucker Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Pasadena Ave S Ste 300, South Pasadena, FL 33707 Phone: 541-350-7041 | |
Lori Prince Lcsw Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Pasadena Ave S Ste 311, South Pasadena, FL 33707 Phone: 727-458-9506 Fax: 954-944-2019 |