# COURAGE TO CHANGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457406613
- **Authorized official:** MR. DAVID T TIPTON LPC (EXECUTIVE DIRECTOR OWNER)
- **Authorized official phone:** (606) 877-9008

## Contact information

- **Practice address:** 474 BARBOURVILLE RD, SUITE 2, LONDON, KY 40744-9302
- **Practice address phone:** (606) 877-9008
- **Practice address fax:** (606) 877-1785
- **Mailing address:** 474 BARBOURVILLE RD, SUITE 2, LONDON, KY 40744-9302
- **Mailing address phone:** (606) 877-9008
- **Mailing address fax:** (606) 877-1785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 3300106600 | KY | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 08/22/2020