Organization · Type 2 NPI

Brave, LLC

Professional Counselor · Columbia, MO

NPI number 1750939864 Active

Practice location

2100 Forum Blvd Ste C-2
Columbia, MO 65203-5436

Call (573) 862-6992 Map

Mailing address

203 Johnson Ct
Ashland, MO 65010-9473

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Psychiatry Physician 2084P0800XNone listed
Physician Assistant 363A00000XNone listed

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About NPI 1750939864

Brave, LLC's National Provider Identifier is 1750939864, issued on Sep 1, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MO. The record was last updated on Aug 19, 2020.