NPI Code Details Logo

NPI 1114884608

NPI 1114884608 : PURPOSE BRAIN WELLNESS LLC : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114884608
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PURPOSE BRAIN WELLNESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/06/2026
-----------------------------------------------------
    Last Update Date     |    01/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6965 PIAZZA GRANDE AVE STE 203 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32835-8780
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-999-7048
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6965 PIAZZA GRANDE AVE STE 203 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32835-8780
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-999-7048
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     DEBORAH  VALVERDE 
-----------------------------------------------------
    Credential           |    LMHC
-----------------------------------------------------
    Telephone            |    954-999-7048
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.