# BRAVURA THERAPY PLLC

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

## Provider details

- **NPI number:** 1255951158
- **Authorized official:** AUBREY RYAN LMFT (CO-OWNER)
- **Authorized official phone:** (872) 222-8044

## Contact information

- **Practice address:** 561 W DIVERSEY PKWY STE 209, CHICAGO, IL 60614-1682
- **Practice address phone:** (872) 222-8044
- **Mailing address:** 561 W DIVERSEY PKWY STE 209, CHICAGO, IL 60614-1682
- **Mailing address phone:** (872) 222-8044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 03/13/2024
