=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588549539
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATH OF PURPOSE COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2025
-----------------------------------------------------
Last Update Date | 08/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1524 BATTS CT
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-0806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-814-6104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 503
-----------------------------------------------------
City | BELLARTHUR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27811-0503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LCMHCA
-----------------------------------------------------
Name | BRITTANY EDMONDSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-814-6104
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------