MEDICARE: COURAGE TO THRIVE THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1427911783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURAGE TO THRIVE THERAPY PLLC

Provider Business Mailing Address
First Line	:	5313 EASTHORPE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-5733
Country	:	US
Telephone Number	:	919-397-5187
Fax Number	:	919-397-5187

Provider Business Practice Location Address
First Line	:	5313 EASTHORPE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-5733
Country	:	US
Telephone Number	:	919-397-5187
Fax Number	:	919-397-5187

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	REBECCA ELISE QUIRK
Credential	:	LCSW
Telephone Number	:	919-397-5187

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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