Healthcare Provider Details

I. General information

NPI: 1912297094
Provider Name (Legal Business Name): COURAGEOUS HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MAIN ST # F
CONWAY SC
29526-5132
US

IV. Provider business mailing address

301 MAIN ST # F
CONWAY SC
29526-5132
US

V. Phone/Fax

Practice location:
  • Phone: 843-488-3183
  • Fax:
Mailing address:
  • Phone: 843-488-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS RACHEL BELLAMY
Title or Position: EXECUTIVE DIRECTOR
Credential: BA, MBA
Phone: 919-455-7117