MEDICARE: PURPOSEFUL DIRECTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619720885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSEFUL DIRECTIONS

Provider Business Mailing Address
First Line	:	899 N LOGAN ST STE 209
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	899 N LOGAN ST STE 209
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3154
Country	:	US
Telephone Number	:	720-770-1909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY FLEMMING
Credential	:
Telephone Number	:	720-770-1909

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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Directions to “PURPOSEFUL DIRECTIONS ” Practice Location

Language	Start Address	Practice Location

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