Organization
BRAVE EMBODIMENT COUNSELING LLC
Active
Parent organization
BRAVE EMBODIMENT COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAVE EMBODIMENT COUNSELING LLC
Authorized official
KIMBERLY OTTINGER MASSALE LPC (OWNER)
(720) 923-3033
Entity
Organization
Contact information
Practice address
2590 WELTON ST STE 200-1005, DENVER, CO 80205-3300
(720) 923-3033
Mailing address
2590 WELTON ST STE 200-1005, DENVER, CO 80205-3300
(720) 222-5033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/12/2019
Last updated
08/18/2022
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