Provider Demographics
NPI:1124822572
Name:DREAM WITH COURAGE, LLC
Entity type:Organization
Organization Name:DREAM WITH COURAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:QUILLIAN
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:812-929-6402
Mailing Address - Street 1:2655 GRAND CASTLE BLVD SW APT W608
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1939
Mailing Address - Country:US
Mailing Address - Phone:812-929-6402
Mailing Address - Fax:
Practice Address - Street 1:1514 WEALTHY ST SE STE 290
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-2755
Practice Address - Country:US
Practice Address - Phone:812-929-6402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty