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NPI Code Detail

MEDICARE: IN COURAGE THERAPY AND CONSULTING, LLC

MEDICARE: IN COURAGE THERAPY AND CONSULTING, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1730979204
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN COURAGE THERAPY AND CONSULTING, LLC
Provider Business Mailing Address
First Line : 234 S LOWELL ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-4661
Country : US
Telephone Number : 319-560-2208
Fax Number :
Provider Business Practice Location Address
First Line : 1114 N DODGE ST STE B
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-6121
Country : US
Telephone Number : 319-560-2208
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : ELLEN C DALY
Credential : LISW
Telephone Number : 319-560-2208
Provider Enumeration Date : 05/08/2025
Last Update Date : 05/09/2025

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Directions to “IN COURAGE THERAPY AND CONSULTING, LLC ” Practice Location

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