BRAVE SOUL COUNSELING PLLC (NPI# 1790247716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790247716 |
| Entity Type | Organization |
| Organization Name | BRAVE SOUL COUNSELING PLLC |
| Practice Address |
43171 Dalcoma Dr Ste 3b Clinton Township MI 48038-6307 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 5176769788 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MARY BETH HOUPT (CREDENTIALING) |
| Authorized Official Telephone | 5176769788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
43171 DALCOMA DR STE 3B |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179368 | Carmen L Williams | Counselor | 22600 Hall Rd Ste 201, Clinton Township, MI 48036-1173 | 2019-11-23 |
| 1134684061 | Out of Mind,llc | Counselor | 39200 Garfield Rd Ste C, Clinton Township, MI 48038-4095 | 2019-02-05 |
| 1881166858 | Sarah Ann Guzzardo | Counselor | 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 | 2019-01-01 |
| 1528581808 | Julia E Mcgowen-bienkowski | Counselor | 35047 Willis St, Clinton Township, MI 48035-2886 | 2017-07-19 |
| 1376090902 | Allison Nicole Woodfield | Counselor | 42590 Stepnitz Dr, Clinton Township, MI 48036-3161 | 2016-09-01 |
| 1801269741 | Victoria Lynn Bentley | Counselor | 17064 Penrod Dr, Clinton Township, MI 48035-1235 | 2015-10-31 |
| 1740530773 | Katie Alyssa Chennault | Counselor | 43121 Brooks Dr, Clinton Township, MI 48038-5321 | 2012-09-18 |
| 1356614051 | Jessica R Couch | Counselor | 42815 Garfield Rd, Suite 210, Clinton Township, MI 48038-1143 | 2012-02-12 |
| 1346536729 | Jennifer Harvey | Counselor | 22800 Hall Rd, Suite 240, Clinton Township, MI 48036-4804 | 2011-06-23 |
| 1295063030 | Barbara Ann Brothers Barone | Counselor | 21885 Dunham Rd Ste 1, Clinton Township, MI 48036-1030 | 2009-12-04 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on BRAVE SOUL COUNSELING PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.