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General NPI Number Information
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NPI Number | 1780335364
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Entity Type | Organization
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Legal Business Name | PURPOSE DRIVEN PASSION COACHING & CONSULTING AGENCY
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 111 BAIN ST STE 315
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City | GREENSBORO
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State | NC
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Zip | 27406-1321
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Country | US
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Telephone | 336-880-1864
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Fax |
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Provider Business Mailing Address
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Address Line | 111 BAIN ST STE 315
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City | GREENSBORO
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State | NC
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Zip | 27406-1321
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Country | US
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Telephone | 336-880-1864
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Fax |
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Authorized Official
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Title or Position | CEO, PRACTIONER,
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Name | SYDNYE CARROLL
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Credential | LCAS-A, LCMHC-A
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Telephone | 336-880-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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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