Healthcare Provider Details

I. General information

NPI: 1588596860
Provider Name (Legal Business Name): BREN COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 CHAMPLAIN AVE
SPRING HILL FL
34609-5140
US

IV. Provider business mailing address

2245 CHAMPLAIN AVE
SPRING HILL FL
34609-5140
US

V. Phone/Fax

Practice location:
  • Phone: 352-632-6783
  • Fax: 352-204-1569
Mailing address:
  • Phone: 352-632-6783
  • Fax: 352-204-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HALEY MCRAVEN
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 218-522-1305