Provider Demographics
NPI:1477215432
Name:COURAGE TO OVERCOME COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:COURAGE TO OVERCOME COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOUGEETA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-850-9592
Mailing Address - Street 1:323 SAINT JOHNS FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-7017
Mailing Address - Country:US
Mailing Address - Phone:201-850-9592
Mailing Address - Fax:
Practice Address - Street 1:323 SAINT JOHNS FOREST BLVD
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-7017
Practice Address - Country:US
Practice Address - Phone:201-850-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health