Active NPI
Bravely, LLC
- Mental Health Counselor
- Tulsa, OK
National Provider Identifier
1669335485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BRAVELY, LLC
- Practice address
- 9726 E 42ND St Ste 143
Tulsa, OK 74146-3626 - Phone
- (918) 401-0480
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronica Clyburn, LPC-S, NCC, RPT
- Title
- Owner
- Phone
- (918) 859-5033
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9726 E 42ND St Ste 143
Tulsa, OK 74146-3626
Mailing address
9726 E 42ND St Ste 143
Tulsa, OK 74146-3626
Phone (918) 859-5033
National Provider Directory
National Provider DirectoryLocations
9726 E 42nd St
Ste 143
Tulsa, OK 74146
Phone (918) 401-0480
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Tulsa, OK
- NPI 1841742327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1669335485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9726 E 42ND ST STE 143",
"city": "TULSA",
"state": "OK",
"postal_code": "741463626",
"telephone_number": "918-859-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9726 E 42ND ST STE 143",
"city": "TULSA",
"state": "OK",
"postal_code": "741463626",
"telephone_number": "918-401-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVELY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "CLYBURN",
"authorized_official_first_name": "VERONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-859-5033",
"authorized_official_credential": "LPC-S, NCC, RPT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.