Provider Demographics
NPI:1043076979
Name:COURAGE OF MIND COUNSELING, LLC
Entity Type:Organization
Organization Name:COURAGE OF MIND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-494-9671
Mailing Address - Street 1:6651 GAMBOL QUAIL DR W
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1312
Mailing Address - Country:US
Mailing Address - Phone:719-494-9671
Mailing Address - Fax:
Practice Address - Street 1:1880 OFFICE CLUB PT STE 148
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5013
Practice Address - Country:US
Practice Address - Phone:719-494-9671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty