MEDICARE: PURPOSEFUL CONVERSATIONS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1083564751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSEFUL CONVERSATIONS, PLLC

Provider Business Mailing Address
First Line	:	334 ALDERWOOD AVE APT 110
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28405-0215
Country	:	US
Telephone Number	:	276-229-7487
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 ALDERWOOD AVE APT 110
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28405-0215
Country	:	US
Telephone Number	:	276-229-7487
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	JENNA NICOLE GRAY
Credential	:	LCMHC, MA
Telephone Number	:	276-229-7487

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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