| Bravery Therapy, Llc | |
|
570 Sw Wake Robin Ave Corvallis OR 97333-1615 | |
| (541) 948-5575 | |
| Not Available |
| Full Name | Bravery Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 570 Sw Wake Robin Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Macy Holmes (OWNER) |
| Authorized Official Contact | 5419485575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravery Therapy, Llc Po Box 1284 Corvallis OR 97339-1284 Ph: (541) 948-5575 | Bravery Therapy, Llc 570 Sw Wake Robin Ave Corvallis OR 97333-1615 Ph: (541) 948-5575 |
| NPI Number | 1063129658 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063129658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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