Organization
BRAVE BLOOMS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY HENDRICKS LCSW (THERAPIST)
(816) 803-4898
Entity
Organization
Contact information
Practice address
1087 NW BAKER DR, ADRIAN, MO 64720-2000
(816) 803-4898
Mailing address
1087 NW BAKER DR, ADRIAN, MO 64720-2000
(816) 803-4898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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