# BRAVERY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063129658
- **Authorized official:** MACY HOLMES LCSW (OWNER)
- **Authorized official phone:** (541) 948-5575

## Contact information

- **Practice address:** 570 SW WAKE ROBIN AVE, CORVALLIS, OR 97333-1615
- **Practice address phone:** (541) 948-5575
- **Mailing address:** PO BOX 1284, CORVALLIS, OR 97339-1284
- **Mailing address phone:** (541) 948-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022