Organization Active NPI

Braveheart Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1982250585
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRAVEHEART MENTAL HEALTH AND WELLNESS
Practice address
1931 NW Military Hwy Ste 206
San Antonio, TX 78213-2162
Phone
(210) 580-4626
Fax
(210) 468-7246
NPI assigned
Aug 11, 2019
Last updated
Aug 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Authorized official

Name
Colleen Lee, APRNNPI 1336420132
Title
Owner
Phone
(210) 580-4626

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1931 NW Military Hwy Ste 206
San Antonio, TX 78213-2162

Mailing address

1931 NW Military Hwy Ste 206
San Antonio, TX 78213-2162
Phone (210) 580-4626

National Provider Directory

National Provider Directory

Locations

1931 NW Military Hwy
Ste 206
San Antonio, TX 78213
Phone (210) 580-4626

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": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596844800000",
    "number": "1982250585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW MILITARY HWY STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132162",
            "telephone_number": "210-580-4626",
            "fax_number": "210-468-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW MILITARY HWY STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132162",
            "telephone_number": "210-580-4626",
            "fax_number": "210-468-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVEHEART MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-580-4626",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.