COURAGE ON PURPOSE NPI 1275388985

NPI Information

  • NPI: 1275388985
  • Provider Name: COURAGE ON PURPOSE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2473 S HIGLEY RD # 104-124
    GILBERT, AZ
    ZIP 85295
  • Phone: (602) 491-5928

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NPI Details

COURAGE ON PURPOSE is a mental health counselor in Gilbert, AZ. COURAGE ON PURPOSE NPI is 1275388985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2473 S HIGLEY RD # 104-124
GILBERT, AZ
ZIP 85295-103
Phone: (602) 491-5928

The provider's authorized official is Omar J Reveron .
The authorized official title is Director Of Services and has the following contact phone number (904) 415-5993.

The enumeration date for this NPI number is 4/17/2024 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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