Provider Demographics
NPI:1578175550
Name:COURAGEOUS YOU PLLC
Entity Type:Organization
Organization Name:COURAGEOUS YOU PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:WOLFER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:425-331-9733
Mailing Address - Street 1:1424 NE 155TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7104
Mailing Address - Country:US
Mailing Address - Phone:425-331-9733
Mailing Address - Fax:425-589-0324
Practice Address - Street 1:1424 NE 155TH ST STE 201
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7104
Practice Address - Country:US
Practice Address - Phone:425-331-9733
Practice Address - Fax:425-589-0324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty