Healthcare Provider Details

I. General information

NPI: 1063376846
Provider Name (Legal Business Name): COURAGEOUS THRIVING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 23163
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 23163
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 512-309-1785
  • Fax:
Mailing address:
  • Phone: 512-309-1785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RANDALL C. WEBSTER
Title or Position: THERAPIST
Credential: LMFT
Phone: 903-445-3066