Provider Demographics
NPI:1760219364
Name:COURAGE TO HEAL COUNSELING
Entity type:Organization
Organization Name:COURAGE TO HEAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COUWELS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-914-1313
Mailing Address - Street 1:801 SW 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-5449
Mailing Address - Country:US
Mailing Address - Phone:561-210-0745
Mailing Address - Fax:561-245-3335
Practice Address - Street 1:801 SW 9TH AVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-5449
Practice Address - Country:US
Practice Address - Phone:561-210-0745
Practice Address - Fax:561-245-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty