Organization
BRAVELY
Active
Organization
BRAVELY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN HANSEN LMSW-C (FOUNDER)
(989) 214-3461
Entity
Organization
Contact information
Practice address
6213 DIXIE HWY, BRIDGEPORT, MI 48722-9654
(989) 214-3461
Mailing address
7475 W GREENLEAF CT, FRANKENMUTH, MI 48734-9532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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