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General NPI Number Information
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NPI Number | 1194491399
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Entity Type | Organization
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Legal Business Name | THERAPY WITH PURPOSE, LLC
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 8607 N 59TH AVE STE C1
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City | GLENDALE
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State | AZ
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Zip | 85302-5435
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Country | US
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Telephone | 480-404-0844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6237
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City | GOODYEAR
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State | AZ
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Zip | 85338-0621
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Country | US
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Telephone | 480-404-0844
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BRIANNA S MARSHALL
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Credential | LCSW
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Telephone | 559-274-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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