Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Pastoral |
101YP1600X |
| NPI Number | 1770258956 |
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| LBN Legal business name | GREATER PURPOSE COUNSELING, LLC | ||||
| Authorized official | FALICIA M MILLER - (OWNER THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/10/2021 | ||||
| Last updated | 08/10/2021 - About 5 years ago | ||||
| Identifiers |
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