Organization
COURAGE TO CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BAKEY LPC, LCADC (OWNER/SOLE MEMBER)
(856) 854-3155
Entity
Organization
Contact information
Practice address
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108-2634
(856) 854-3155
(856) 854-0992
Mailing address
23 N DELSEA DR UNIT B, CLAYTON, NJ 08312-1637
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00182400
NJ
101YP2500X
Professional Counselor
Primary
37PC00457200
NJ
Other
Enumeration date
04/25/2018
Last updated
07/30/2024
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