Provider Demographics
NPI:1346968716
Name:THE BRAVE FIGHT, LLC
Entity Type:Organization
Organization Name:THE BRAVE FIGHT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMPA
Authorized Official - Middle Name:LORI
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:817-608-6701
Mailing Address - Street 1:505 PECAN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-4079
Mailing Address - Country:US
Mailing Address - Phone:817-381-6991
Mailing Address - Fax:817-803-1170
Practice Address - Street 1:505 PECAN ST STE 102
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-4079
Practice Address - Country:US
Practice Address - Phone:817-381-6991
Practice Address - Fax:817-803-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty