OrganizationActive
Bravo Mind Psychiatry PLLC
NPI 1982440400 · Adolescent and Children Mental Health Clinic/Center · Lacey, WA
Provider details
- NPI number
- 1982440400
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johanna Nardini, Managing Member(210) 201-2656
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
4405 7th Ave Se Ste 200
Lacey, WA 98503-1055
Phone: (210) 201-2656
Approximate (ZIP-level) locationGet directions
Mailing address
13423 Blanco Rd Unit 3164
San Antonio, TX 78216-2187
Registry dates
- Enumerated
- 2024-07-03
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.