| Organization Name: | COURAGEOUS JOURNEY, PLLC |
| NPI Number: | 1003250408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA R COGLE (OWNER/OPERATOR) |
| Mailing Address: | 1664 Winchester Ave Ste B Martinsburg |
| State: | WV US |
| Postal Code: | 254053881 |
| Phone Number: | 3049014347 |
| Fax Number: | 8885962658 |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 05/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | DP00939896 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |