Braveheart Therapy and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRAVEHEART THERAPY AND WELLNESS

Practice address

1857 Nadine Rd Apt 101
Wesley Chapel, FL 33544-4934

Phone

(813) 451-4359

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Raveen Whitfield, LCSW

Title

Owner

Phone

(813) 451-4359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1356985089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 NADINE RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444933",
            "telephone_number": "813-451-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 NADINE RD APT 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444934",
            "telephone_number": "813-451-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVEHEART THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "RAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-451-4359",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.