Provider Demographics
NPI:1841941564
Name:COURAGE AND CARE COUNSELING
Entity type:Organization
Organization Name:COURAGE AND CARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-820-7805
Mailing Address - Street 1:6193 LINDSAY DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3031
Mailing Address - Country:US
Mailing Address - Phone:989-820-7805
Mailing Address - Fax:
Practice Address - Street 1:7460 M E CAD BLVD STE 7
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4270
Practice Address - Country:US
Practice Address - Phone:989-820-7805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)