Brave Space Therapy, LLC
NPI #1821736588 in Allentown, Pennsylvania
Provider Information
- NPI Number
- 1821736588
- Entity Type
- Organization
- Organization Name
- Brave Space Therapy, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 23, 2022
- Last Updated
- May 23, 2022
Practice Location
- Address
- 1600 HAMILTON ST
- City
- Allentown
- State
- Pennsylvania
- ZIP Code
- 18102-4214
- Phone
- (845) 807-6582
Authorized Official
- Name
- ANNALISA BOVA, LCSW
- Title
- OWNER
- Phone
- (845) 807-6582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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