Brave Sobriety and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVE SOBRIETY AND WELLNESS

Practice address

23 Plummer St
Manchester, NH 03102-1237

Phone

(160) 358-1809

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Mackenzie R Seely, LICSW MLADCNPI 1306493531

Title

Owner Operator

Phone

(603) 581-8090

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie Ryan Seely, MLADC LICSW

  • Addiction (Substance Use Disorder) Counselor
  • Goffstown, NH
  • NPI 1306493531
  NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1124700026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLUMMER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031021237",
            "telephone_number": "603-581-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLUMMER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031021237",
            "telephone_number": "160-358-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE SOBRIETY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "603-581-8090",
        "authorized_official_credential": "LICSW MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

• Ariana Macy Brand, PA
• Stephanie R Brann
• Krystsina Bratanava, DMD
• Julia Brau
• Christopher M. Brauer, MD
• Maya C Brazauskas
• Robert Breault, BS
• Shannon Breault, BA
• Brittany Brennan
• Lynn Brennan

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.