Organization Active NPI

Brave Women Life Coaching

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1700647153
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAVE WOMEN LIFE COACHING
Practice address
401 Holmes Ave NE
Huntsville, AL 35801-4123
Phone
(256) 203-6626
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Tashara ChildsNPI 1821565193
Title
Ceo
Phone
(256) 203-6626

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

401 Holmes Ave NE
Huntsville, AL 35801-4123

Mailing address

7830 Hwy 72 W Ste 100
PMB 1032
Madison, AL 35758

National Provider Directory

National Provider Directory

Locations

401 Holmes Ave NE
Huntsville, AL 35801
Phone (256) 203-6626

7830 Highway 72 W
Ste 100
Madison, AL 35758
Phone (518) 992-6506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1700647153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 HWY 72 W STE 100",
            "address_2": "PMB 1032",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOLMES AVE NE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014123",
            "telephone_number": "256-203-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE WOMEN LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "TASHARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-203-6626"
    },
    "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 Huntsville, AL

Sources for this page

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