# COURAGE TO CHANGE COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COURAGE TO CHANGE CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912761933
- **Legal business name:** COURAGE TO CHANGE CORP
- **Authorized official:** DAVID T TIPTON PH.D. LPCC (OWNER)
- **Authorized official phone:** (606) 224-8451

## Contact information

- **Practice address:** 311 WALKER LN, LONDON, KY 40744-9036
- **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 |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 09/27/2024