Healthcare Provider Details

I. General information

NPI: 1295446219
Provider Name (Legal Business Name): COURAGE AND TRANQUILITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 KENYON ST. NW #102
OLYMPIA WA
98502
US

IV. Provider business mailing address

221 KENYON ST. NW #102
OLYMPIA WA
98502
US

V. Phone/Fax

Practice location:
  • Phone: 253-720-1613
  • Fax:
Mailing address:
  • Phone: 253-720-1613
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER E HIGGS-COULTHARD
Title or Position: OWNER/THERAPIST
Credential: MA
Phone: 719-930-4029