Provider Demographics
NPI:1265276414
Name:COURAGE IN MIND
Entity type:Organization
Organization Name:COURAGE IN MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-730-0170
Mailing Address - Street 1:620 BUNKER DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-3806
Mailing Address - Country:US
Mailing Address - Phone:612-730-0170
Mailing Address - Fax:
Practice Address - Street 1:14041 BURNHAVEN DR STE 145
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4408
Practice Address - Country:US
Practice Address - Phone:651-300-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health