Courage To Change, LLC
Counselor, Professional in Haddon Township, New Jersey
1821586843- Practice location
- 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634
- Phone
- 856-854-3155
- Fax
- 856-854-0992
- Last updated
- July 30, 2024
Courage To Change, LLC is a healthcare organization based in Haddon Township, NJ. Courage To Change, LLC practices in Haddon Township, NJ. The NPI Number for Courage To Change, LLC is 1821586843 and holds a License No. 37LC00182400 (NJ). The current practice location address for Courage To Change, LLC is 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634 and can be reached out via phone at 856-854-3155 and via fax at 856-854-0992.
Provider Profile Details
- NPI Number
- 1821586843
- Provider Name
- Courage To Change, LLC
- Provider Entity Type
- Organization
- Address
- 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634
- Phone Number
- 856-854-3155
- Fax Number
- 856-854-0992
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Carol Bakey, LPC, LCADC · Owner/Sole Member · 856-854-3155
- Provider Enumeration Date
- April 25, 2018
- Last Update Date
- July 30, 2024
- Certification Date
- July 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 215 Highland Ave Ste C
Haddon Township, NJ 08108-2634 - City
- Haddon Township
- State
- New Jersey
- Zip
- 08108-2634
- Phone Number
- 856-854-3155
- Fax Number
- 856-854-0992
Provider Business Mailing Address Details
- Address
- 23 N Delsea Dr Unit B
Clayton, NJ 08312-1637 - City
- Clayton
- State
- NJ
- Zip
- 08312-1637
- Phone Number
- 856-423-7700
- Fax Number
- 856-423-0823
License Information
- License Number (1)
- 37LC00182400
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 37PC00457200
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Courage To Change, LLC?
The NPI number of Courage To Change, LLC is 1821586843. It was assigned on April 25, 2018 and is currently active in the NPPES registry.
What is the specialty of Courage To Change, LLC?
Courage To Change, LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37LC00182400.
Where does Courage To Change, LLC practice?
The practice location is 215 Highland Ave Ste C, Haddon Township, NJ 08108-2634. The office can be reached at 856-854-3155 (phone) or 856-854-0992 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821586843 directly on the NPPES registry website.