| Courage To Change Corp | |
|
2785 N Main St Ste 101b Hazard KY 41701-5910 | |
| (606) 224-8451 | |
| Not Available |
| Full Name | Courage To Change Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2785 N Main St Ste 101b, Hazard, Kentucky |
| Authorized Official Name and Position | David T Tipton (OWNER/ PBSS) |
| Authorized Official Contact | 6062248451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage To Change Corp 311 Walker Ln London KY 40744-9036 Ph: (606) 224-8451 | Courage To Change Corp 2785 N Main St Ste 101b Hazard KY 41701-5910 Ph: (606) 224-8451 |
| NPI Number | 1215710819 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215710819 | NPI | - | NPPES |
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