Healthcare Provider Details

I. General information

NPI: 1508556598
Provider Name (Legal Business Name): THE COURAGE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 ELMIRA ST
AURORA CO
80010-2116
US

IV. Provider business mailing address

19404 E FLORIDA PL
AURORA CO
80017-4641
US

V. Phone/Fax

Practice location:
  • Phone: 303-246-8604
  • Fax:
Mailing address:
  • Phone: 303-246-8604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ISABELLA ASAMOAH
Title or Position: THERAPIST
Credential:
Phone: 303-246-8604