Provider Demographics
NPI:1124653647
Name:MONDAY COURAGE LLC
Entity type:Organization
Organization Name:MONDAY COURAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-709-1778
Mailing Address - Street 1:800 BATTERY AVE SE STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5107
Mailing Address - Country:US
Mailing Address - Phone:540-709-1778
Mailing Address - Fax:540-227-7050
Practice Address - Street 1:1320 CENTRAL PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4953
Practice Address - Country:US
Practice Address - Phone:540-709-1778
Practice Address - Fax:540-227-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty