Organization
BRAVE ROBINS LLC
Active
Other names
Brave Robins, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CASELLA LCSW (OWNER)
(931) 774-0048
Entity
Organization
Contact information
Practice address
604 N HIGH ST, COLUMBIA, TN 38401-3216
(931) 774-0048
Mailing address
905 CAMELLIA DR, COLUMBIA, TN 38401-4640
(931) 774-0048
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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