Organization Active NPI

Brave Robins LLC

  • Adult Mental Health Clinic/Center
  • Columbia, TN
National Provider Identifier
1306677950
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BRAVE ROBINS LLC
Practice address
604 N High St
Columbia, TN 38401-3216
Phone
(931) 774-0048
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Diana Casella, LCSWNPI 1770288391
Title
Owner
Phone
(931) 774-0048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

604 N High St
Columbia, TN 38401-3216

Mailing address

905 Camellia Dr
Columbia, TN 38401-4640
Phone (931) 774-0048

Other names 1

  • Brave Robins, LLC Other name

National Provider Directory

National Provider Directory

Locations

604 N High St
Columbia, TN 38401
Phone (615) 219-9924

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1306677950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CAMELLIA DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014640",
            "telephone_number": "931-774-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N HIGH ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013216",
            "telephone_number": "931-774-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ROBINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "CASELLA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-774-0048",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brave Robins, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.