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BRAVO MENTAL WELLNESS PLLC
NPI 1033819529
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since March 06, 2023
174 MINE LAKE CT STE 200, RALEIGH, NC 27615(919) 769-1910(919) 214-5388 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Bravo Mental Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVO MENTAL WELLNESS PLLC (NPI 1033819529) is a healthcare organization registered as a psychiatric/mental health in Raleigh, North Carolina and active in the NPI registry since March 2023. The organization lists Sasha Bravo, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1033819529
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRAVO MENTAL WELLNESS PLLC
Location Address174 MINE LAKE CT STE 200Raleigh, NC 27615-6417
Mailing Address921 E Broad St # 1065Fuquay Varina, NC 27526-1960 · (828) 776-5155 · Fax (919) 214-1327
Phone(919) 769-1910
Fax(919) 214-5388
Organization SubpartNo
Authorized OfficialSasha BravoPmhnp · (828) 776-5155
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1033819529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
174 MINE LAKE CT STE 200, Raleigh, NC 27615
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Other Identifiers 1

Other5014097NC · North Carolina Board Of Nursing Np License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LYNN BEARDSLEY-GLOVER LPCA
Counselor (Mental Health)
174 MINE LAKE CT STE 200
RALEIGH, NC 27615
Wake County (814) 460-6429
PATH TO HOPE COUNSELING INC.
Counselor (Professional)
174 MINE LAKE CT STE 200
RALEIGH, NC 27615
Wake County (919) 618-6526
SASHA BRAVO NP
Nurse Practitioner (Psychiatric/Mental Health)
174 MINE LAKE CT STE 200
RALEIGH, NC 27615
Wake County (919) 769-1910
MEREDITH VAN RENSBURG LCMHC
Counselor (Professional)
174 MINE LAKE CT STE 200
RALEIGH, NC 27615
Wake County (984) 500-2021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bravo Mental Wellness PLLC's NPI number?

The NPI number for Bravo Mental Wellness PLLC is 1033819529. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Bravo Mental Wellness PLLC located?

Bravo Mental Wellness PLLC is located at 174 Mine Lake Ct Ste 200, Raleigh, NC 27615. The listed phone number is (919) 769-1910.

What is Bravo Mental Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bravo Mental Wellness PLLC was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.