Organization Active NPI

Brave Spaces and Liberated Therapy LLC

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1801700620
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRAVE SPACES AND LIBERATED THERAPY LLC
Practice address
6350 Benham St
Detroit, MI 48211-1804
Phone
(313) 513-6372
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Ms. Sara Havlik, LMSW
Title
Owner
Phone
(313) 513-6372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6350 Benham St
Detroit, MI 48211-1804

Mailing address

6350 Benham St
Detroit, MI 48211-1804
Phone (313) 513-6372

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1801700620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 BENHAM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482111804",
            "telephone_number": "313-513-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 BENHAM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482111804",
            "telephone_number": "313-513-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE SPACES AND LIBERATED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "HAVLIK",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-513-6372",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.