Brave Wellness Studio

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BRAVE WELLNESS STUDIO

Practice address

6020 Santo Rd Ste B
San Diego, CA 92124-1195

Phone

(858) 737-4674

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Denise Alba, LMFTNPI 1730445677

Title

Owner

Phone

(858) 737-4674

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Denise A. Alba, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1730445677
  NPD Authorized official
• Becky Marquez

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1528682507
  NPD
• Raquel J Ferrer

  • Marriage & Family Therapist
  • San Marcos, CA
  • NPI 1952153868
  NPD (past)
• Valerie C. Jennison, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1114639010
  NPD (past)
• Alexandra Masterson, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1558938381
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1639837974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 SANTO RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241195",
            "telephone_number": "858-737-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 SANTO RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241195",
            "telephone_number": "858-737-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE WELLNESS STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-737-4674",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Braun, MD
• Rebecca Braunstein, LMFT118964 LPC20884
• Christina Braunworth, APRN
• Brave Care Institute, Inc.
• Brave Heart Child & Family Counseling Inc
• Amanda Bravo
• Bevelynn Heda Bravo
• Francisco Bravo
• Kevin Lee Bravo
• Leticia Bravo

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.