Healthcare Provider Details

I. General information

NPI: 1336900844
Provider Name (Legal Business Name): PURPOSELY PATIENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PECAN LN APT 3
MINDEN IA
51553-2010
US

IV. Provider business mailing address

5001 SERGEANT RD STE 50
SIOUX CITY IA
51106-4777
US

V. Phone/Fax

Practice location:
  • Phone: 402-403-2800
  • Fax: 833-329-0074
Mailing address:
  • Phone: 402-403-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ERDAHL
Title or Position: OWNER/PROVIDER
Credential: LMHP
Phone: 402-403-2800