# COURAGE TO CHANGE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215710819
- **Authorized official:** DAVID T TIPTON MA, LPCC (OWNER/ PBSS)
- **Authorized official phone:** (606) 224-8451

## Contact information

- **Practice address:** 2785 N MAIN ST STE 101B, HAZARD, KY 41701-5910
- **Practice address phone:** (606) 224-8451
- **Mailing address:** 311 WALKER LN, LONDON, KY 40744-9036
- **Mailing address phone:** (606) 224-8451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 08/17/2023