Healthcare Provider Details

I. General information

NPI: 1245009158
Provider Name (Legal Business Name): LIVING ON PURPOSE COUNSELING AND CONSULTATION SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W BARDIN RD
ARLINGTON TX
76017-6000
US

IV. Provider business mailing address

2606 LORRAINE CIR
KILLEEN TX
76543-3594
US

V. Phone/Fax

Practice location:
  • Phone: 214-783-7585
  • Fax:
Mailing address:
  • Phone: 214-783-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JANA N INFANTE
Title or Position: MANAGER
Credential:
Phone: 214-783-7585