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General NPI Number Information
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NPI Number | 1417829656
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Entity Type | Organization
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Legal Business Name | COURAGEOUS COLLECTIVE LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2880 LINCOLNSHIRE LN SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7166
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Country | US
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Telephone | 518-217-8159
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 LINCOLNSHIRE LN SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7166
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Country | US
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Telephone | 518-217-8159
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Fax | 616-328-6591
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA YAO ZHENG
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Credential | MS
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Telephone | 518-217-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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