# BRAVEHEART MENTAL HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1982250585
- **Authorized official:** COLLEEN LEE APRN (OWNER)
- **Authorized official phone:** (210) 580-4626

## Contact information

- **Practice address:** 1931 NW MILITARY HWY STE 206, SAN ANTONIO, TX 78213-2162
- **Practice address phone:** (210) 580-4626
- **Practice address fax:** (210) 468-7246
- **Mailing address:** 1931 NW MILITARY HWY STE 206, SAN ANTONIO, TX 78213-2162
- **Mailing address phone:** (210) 580-4626
- **Mailing address fax:** (210) 468-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2019
- **Last updated:** 08/08/2020