Courageous Aim Llc - Medicare Mental Health Clinic in Davenport, IA

Courageous Aim Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Davenport, Iowa. The current practice location for Courageous Aim Llc is 2805 Eastern Ave Ste D, Davenport, Iowa. For appointments, you can reach them via phone at (563) 505-0141. The mailing address for Courageous Aim Llc is 2805 Eastern Ave Ste D, Davenport, Iowa and phone number is (563) 505-0141.

Courageous Aim Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003538612. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (563) 505-0141.

Contact Information

Courageous Aim Llc
2805 Eastern Ave Ste D
Davenport
IA 52803-2074
(563) 505-0141
Not Available

Mental Health Clinic Profile

Full NameCourageous Aim Llc
SpecialitySocial Worker
Location2805 Eastern Ave Ste D, Davenport, Iowa
Authorized Official Name and PositionLaura Marie Carothers (OWNER/PROVIDER)
Authorized Official Contact5635050141
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courageous Aim Llc
2805 Eastern Ave Ste D
Davenport
IA 52803-2074

Ph: (563) 505-0141
Courageous Aim Llc
2805 Eastern Ave Ste D
Davenport
IA 52803-2074

Ph: (563) 505-0141

NPI Details:

NPI Number1003538612
Provider Enumeration Date09/12/2022
Last Update Date09/28/2022
Certification Date09/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0749658144
Medicare Enrollment IDO20221116000323

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Medical Identifiers

Medical identifiers for Courageous Aim Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003538612NPI-NPPES
0074526MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Courageous Aim Llc acts as a billing entity for following providers:
Provider NameLaura M Carothers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497910608
PECOS PAC ID: 3173649985
Enrollment ID: I20100929001502

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