Healthcare Provider Details

I. General information

NPI: 1902691025
Provider Name (Legal Business Name): BEPURPOSEFUL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 S MAIN ST STE B106
PENNINGTON NJ
08534-2821
US

IV. Provider business mailing address

65 S MAIN ST STE B106
PENNINGTON NJ
08534-2821
US

V. Phone/Fax

Practice location:
  • Phone: 609-429-6596
  • Fax:
Mailing address:
  • Phone: 609-429-6596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMERA S DAYE
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 609-429-6596