Healthcare Provider Details

I. General information

NPI: 1942122700
Provider Name (Legal Business Name): BRAVE GROUND EQUINE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MAIL ROUTE RD
READING PA
19608-9024
US

IV. Provider business mailing address

40 GREEN CT
DENVER PA
17517-9547
US

V. Phone/Fax

Practice location:
  • Phone: 717-584-1758
  • Fax:
Mailing address:
  • Phone: 717-584-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MARY KATE E LINEBARGER
Title or Position: DIRECTOR/VP
Credential: ED.D
Phone: 717-979-9981