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Envisioned Purpose Llc
Professional Counselor in Locust Grove, Georgia
NPI 1366018541

Envisioned Purpose Llc is a Professional Counselor based in Morrow, GA and is specialized in Professional. Envisioned Purpose Llc practices in Locust Grove, GA. The NPI Number for Envisioned Purpose Llc is 1366018541 and holds a License No. (Georgia).

The current practice location address for Envisioned Purpose Llc is 1477 S Bethany Rd, Locust Grove, GA and can be reached out via phone at 470-765-8770.

Location: 1477 S Bethany Rd, Locust Grove, GA, 30260-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366018541
Provider Name
Envisioned Purpose Llc
Credential
Provider Entity Type
Organization
Address
1477 S Bethany Rd, Locust Grove, GA, 30260-3313
Phone Number
470-765-8770
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1477 S Bethany Rd
City
Locust Grove
State
Georgia
Zip
30248
Phone Number
470-765-8770
Fax Number
person
Provider Business Mailing Address Details
Address
1477 S Bethany Rd
City
Locust Grove
State
Georgia
Zip
30248
Phone Number
470-765-8770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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