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General NPI Number Information
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NPI Number | 1720891302
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Entity Type | Organization
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Legal Business Name | SOUL PURPOSE, LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 306 S 5TH ST STE 2
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City | LAMAR
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State | CO
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Zip | 81052-2770
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Country | US
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Telephone | 719-470-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 306 S. 5TH STREET, SUITE 2
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City | LAMAR
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State | CO
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Zip | 81052-2270
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Country | US
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Telephone | 719-470-1197
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMBER M. SETTLES
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Credential | LCSW
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Telephone | 719-470-1197
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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 | 101YM0800X
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Taxonomy Name | Mental Health 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 | 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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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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