# BRAVE TRANSITIONS

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

## Provider details

- **NPI number:** 1538901665
- **Authorized official:** KENDALL MANWILL LCSW (OWNER)
- **Authorized official phone:** (310) 774-1889

## Contact information

- **Practice address:** 2975 W EXECUTIVE PKWY STE 277, LEHI, UT 84043-9642
- **Practice address phone:** (310) 774-1889
- **Mailing address:** 1440 E 140 S, PLEASANT GROVE, UT 84062-3048
- **Mailing address phone:** (310) 774-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024