=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043174535
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PULSE WITH A PURPOSE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4696 HONEYGROVE RD STE 103
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23455-5900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-227-7946
-----------------------------------------------------
Fax | 757-574-9085
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4696 HONEYGROVE RD STE 103
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23455-5900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-227-7946
-----------------------------------------------------
Fax | 757-574-9085
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YASMING BULLOCK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-227-7946
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------