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NPI Code Detail

MEDICARE: WILLOW AND COURAGE COUNSELING, LLC

MEDICARE: WILLOW AND COURAGE COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1144187881
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLOW AND COURAGE COUNSELING, LLC
Provider Business Mailing Address
First Line : 3361 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3361 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5103
Country : US
Telephone Number : 719-964-5066
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : MRS. BRITTANY RUSSELL
Credential : LPC
Telephone Number : 719-602-0648
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/27/2026

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Directions to “WILLOW AND COURAGE COUNSELING, LLC ” Practice Location

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