BRAVE CHANGES COUNSELING AND CONSULTING NPI 1558123703

NPI Information

  • NPI: 1558123703
  • Provider Name: BRAVE CHANGES COUNSELING AND CONSULTING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 717 SHADY SUMMIT WAY
    RALEIGH, NC
    ZIP 27603
  • Phone: (910) 644-0414

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NPI Details

BRAVE CHANGES COUNSELING AND CONSULTING is a mental health counselor in Raleigh, NC. BRAVE CHANGES COUNSELING AND CONSULTING NPI is 1558123703. The provider is registered as an organization entity type.

The provider's business location address is:

717 SHADY SUMMIT WAY
RALEIGH, NC
ZIP 27603-877
Phone: (910) 644-0414

The provider's authorized official is Lauren Blue .
The authorized official title is Owner and has the following contact phone number (910) 644-0414.

The enumeration date for this NPI number is 1/24/2024 and was last updated on 6/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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