The Brave Ones Therapy Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE BRAVE ONES THERAPY CENTER

Doing business as

Simply Brave Therapy Center

Practice address

4314 Edgewater Dr
Orlando, FL 32804-2135

Phone

(407) 745-4616

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cierra Renee Collum, LMFT

Title

Managing Director

Phone

(407) 745-4616

Specialties & licenses 1

Addresses

Other names 1

• Simply Brave Therapy Center Doing business as

Locations

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1649856626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042135",
            "telephone_number": "407-745-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042135",
            "telephone_number": "407-745-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAVE ONES THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "COLLUM",
        "authorized_official_first_name": "CIERRA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "407-745-4616",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Brave Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.