Organization
BRAVE, LLC
Active
Other names
Brave Counseling and Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH HOCKER LPC (OWNER)
(573) 823-6992
Entity
Organization
Contact information
Practice address
2100 FORUM BLVD STE C-2, COLUMBIA, MO 65203-5436
(573) 862-6992
Mailing address
203 JOHNSON CT, ASHLAND, MO 65010-9473
(573) 862-6992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/01/2019
Last updated
08/19/2020
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