Organization
BRAVO MENTAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA BRAVO MSN (PMHNP)
(828) 776-5155
Entity
Organization
Contact information
Practice address
916 BRITTLEY WAY, APEX, NC 27502-6438
(828) 776-5155
Mailing address
921 E BROAD ST UNIT 1065, FUQUAY VARINA, NC 27526-1960
(828) 776-5155
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841883030
INDIVIDUAL NPI
—
Enumeration date
02/17/2023
Last updated
02/17/2023
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