Bravery Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVERY THERAPY, LLC

Practice address

570 SW Wake Robin Ave
Corvallis, OR 97333-1615

Phone

(541) 948-5575

NPI assigned

Nov 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Macy Holmes, LCSW

Title

Owner

Phone

(541) 948-5575

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1063129658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391284",
            "telephone_number": "541-948-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SW WAKE ROBIN AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331615",
            "telephone_number": "541-948-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVERY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-948-5575",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Stoller Brandt, MD
• Aurora Belle Brannon-Vasquez
• Michael D Brant, M.D.
• Craig Ellis Brauer, PHARMD
• Andres Matthew Braun
• Deeana M Brawn
• Holly A Bray, P.T.
• Cynthia Lee Bream, FNP-BC
• Randall V. Bream, M.D.
• Joel Breen, DO

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.