Provider Demographics
NPI:1144007709
Name:BRAVEHEART EQUINE ASSISTED THERAPY
Entity type:Organization
Organization Name:BRAVEHEART EQUINE ASSISTED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, EMDR,
Authorized Official - Phone:817-875-1771
Mailing Address - Street 1:1309 JUDGE BLAND RD
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6876
Mailing Address - Country:US
Mailing Address - Phone:817-875-1771
Mailing Address - Fax:
Practice Address - Street 1:1309 JUDGE BLAND RD
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76262-6876
Practice Address - Country:US
Practice Address - Phone:817-875-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)