Healthcare Provider Details

I. General information

NPI: 1992594014
Provider Name (Legal Business Name): BRAVE HOPE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6640 GUNPARK DR STE 101
BOULDER CO
80301-7001
US

IV. Provider business mailing address

1601 29TH ST STE 12921209
BOULDER CO
80301-1009
US

V. Phone/Fax

Practice location:
  • Phone: 720-340-1509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DREW FELDBAUM
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 720-340-1509