Brave Changes, LLC

NPI #1972339935 in Franklin, Wisconsin

Provider Information

NPI Number: 1972339935
Entity Type: Organization
Organization Name: Brave Changes, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 7250 S BALLPARK DR APT 106
City: Franklin
State: Wisconsin
ZIP Code: 53132-7026
Phone: (414) 666-4211

Authorized Official

Name: LORI-ANA GUILLEN
Title: LCSW
Phone: (414) 666-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
In Home Supportive Care	253Z00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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