Brave Relationships Family Therapy and Professional Consulting

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRAVE RELATIONSHIPS FAMILY THERAPY AND PROFESSIONAL CONSULTING

Practice address

1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122

Phone

(562) 217-9958

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Ms. April Monique Delgadillo-Jolley, M.S.

Title

President/Ceo

Phone

(562) 217-9958

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1255996880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "562-217-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "562-217-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE RELATIONSHIPS FAMILY THERAPY AND PROFESSIONAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "DELGADILLO-JOLLEY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-217-9958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://braverelationships.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "EHR URL",
            "address_1": "1440 N Harbor Blvd Ste 900",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928354122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawntel Brailsford
• Deborah Helaine Branch, CD CERTIFICATION
• Brandy Brandon
• Joann Cherami Brannock, PHD
• Alivia Brasher
• Ashley E Bravo
• G. Wayne Brazil, MA,LMFTCAL.#MFC34554
• Grace Bredice
• Amy L Breedlove, DI
• Kellie Rose Breen

• Adult Mental Health Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.