Organization
BRAVO COUNSELING & SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HECKROTE LPC (OWNER)
(570) 394-3380
Entity
Organization
Contact information
Practice address
1057 LOCKARD RD, MUNCY, PA 17756-7936
(570) 394-3380
Mailing address
1057 LOCKARD RD, MUNCY, PA 17756-7936
(570) 394-3380
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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