Provider Demographics
NPI:1982223905
Name:COURAGEOUS GROWTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:COURAGEOUS GROWTH COUNSELING, PLLC
Other - Org Name:COURAGEOUS GROWTH HTX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HORAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCDC
Authorized Official - Phone:832-356-3694
Mailing Address - Street 1:2339 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-2319
Mailing Address - Country:US
Mailing Address - Phone:832-356-3694
Mailing Address - Fax:
Practice Address - Street 1:2339 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2319
Practice Address - Country:US
Practice Address - Phone:832-290-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management