Courageous Life Colorado

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COURAGEOUS LIFE COLORADO

Practice address

8740 Arista PL Unit 4408
Broomfield, CO 80021-4982

Phone

(720) 474-3857

NPI assigned

Oct 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Brianna Bryson

Title

Owner

Phone

(720) 474-3857

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1700606050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 ARISTA PL UNIT 4408",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800214982",
            "telephone_number": "720-474-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 ARISTA PL UNIT 4408",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800214982",
            "telephone_number": "720-474-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS LIFE COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-474-3857",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.