# COURAGE ON PURPOSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275388985
- **Authorized official:** MR. OMAR J REVERON (DIRECTOR OF SERVICES)
- **Authorized official phone:** (904) 415-5993

## Contact information

- **Practice address:** 2473 S HIGLEY RD \# 104-124, GILBERT, AZ 85295-1103
- **Practice address phone:** (602) 491-5928
- **Mailing address:** 2473 S HIGLEY RD \# 104-124, GILBERT, AZ 85295-1103
- **Mailing address phone:** (904) 415-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/17/2024