Healthcare Provider Details

I. General information

NPI: 1396585618
Provider Name (Legal Business Name): MIND & PURPOSE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

IV. Provider business mailing address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

V. Phone/Fax

Practice location:
  • Phone: 954-667-5542
  • Fax:
Mailing address:
  • Phone: 954-667-5542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA JEANE TEMES
Title or Position: PRESIDENT
Credential: PHD, LCSW
Phone: 954-667-5542