Organization
BRAVERY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY HOLMES LCSW (OWNER)
(541) 948-5575
Entity
Organization
Contact information
Practice address
570 SW WAKE ROBIN AVE, CORVALLIS, OR 97333-1615
(541) 948-5575
Mailing address
PO BOX 1284, CORVALLIS, OR 97339-1284
(541) 948-5575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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