Healthcare Provider Details

I. General information

NPI: 1659820140
Provider Name (Legal Business Name): BE BRAVE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ELM ST. UNIT E
WOLFEBORO NH
03894-4479
US

IV. Provider business mailing address

16 ELM ST. UNIT E
WOLFEBORO NH
03894-4479
US

V. Phone/Fax

Practice location:
  • Phone: 603-810-0403
  • Fax: 844-562-1452
Mailing address:
  • Phone: 603-810-0403
  • Fax: 844-562-1452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW 12681
License Number StateFL

VIII. Authorized Official

Name: MRS. CHRISTINA ELIZABETH SAWYER
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: MSW, LCSW
Phone: 561-537-0179