Organization Name: | STEPHANIE LITTLEBRAVE |
NPI Number: | 1083010136 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE LITTLE BRAVE (COUNSELOR) |
Mailing Address: | 520 Cedar St Suite E Sandpoint |
State: | ID US |
Postal Code: | 838641569 |
Phone Number: | 2086273775 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |