Healthcare Provider Details

I. General information

NPI: 1104774983
Provider Name (Legal Business Name): COURAGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 ELLICOTT MILLS DR STE B
ELLICOTT CITY MD
21043-4638
US

IV. Provider business mailing address

3525 ELLICOTT MILLS DR STE B
ELLICOTT CITY MD
21043-4638
US

V. Phone/Fax

Practice location:
  • Phone: 301-678-3953
  • Fax:
Mailing address:
  • Phone: 301-678-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELSEY ROOD
Title or Position: FOUNDER
Credential: LCPC
Phone: 301-678-3953