Provider Demographics
NPI:1871305870
Name:BRAVER THERAPY AND LIFE DEVELOPMENT LLC
Entity type:Organization
Organization Name:BRAVER THERAPY AND LIFE DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COULTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMES
Authorized Official - Suffix:
Authorized Official - Credentials:MFTC
Authorized Official - Phone:970-235-0404
Mailing Address - Street 1:7 JACKPINE CT
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-1717
Mailing Address - Country:US
Mailing Address - Phone:970-331-3959
Mailing Address - Fax:
Practice Address - Street 1:1169 HILLTOP PKWY UNIT 104H
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-3173
Practice Address - Country:US
Practice Address - Phone:970-235-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty