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Contact Information

BRAVE- CHARLOTTE LLC
7627 PETREA LN
CHARLOTTE, NC28227-1060
 Phone: 475-210-8013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for BRAVE- CHARLOTTE LLC

NPI # 1467316778
LBN Legal business name BRAVE- CHARLOTTE LLC
Authorized official GERALDINE WILLIAMS - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2025
Last updated 12/11/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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