Healthcare Provider Details

I. General information

NPI: 1831014828
Provider Name (Legal Business Name): PURPOZ COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 CLAIRMONT RD
DECATUR GA
30030-1228
US

IV. Provider business mailing address

311 W HILL ST
DECATUR GA
30030-4319
US

V. Phone/Fax

Practice location:
  • Phone: 404-990-7495
  • Fax:
Mailing address:
  • Phone: 404-990-7495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY SWANSON
Title or Position: CLINICAL DIRECTOR
Credential: PSYM, LPC
Phone: 404-990-7495