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NPI Code Detail

MEDICARE: PURPOSE BRAIN WELLNESS LLC

MEDICARE: PURPOSE BRAIN WELLNESS LLC
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
1103K00000XBehavior Analyst
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1114884608
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURPOSE BRAIN WELLNESS LLC
Provider Business Mailing Address
First Line : 6965 PIAZZA GRANDE AVE STE 203
Second Line :
City : ORLANDO
State : FL
Zip : 32835-8780
Country : US
Telephone Number : 954-999-7048
Fax Number :
Provider Business Practice Location Address
First Line : 6965 PIAZZA GRANDE AVE STE 203
Second Line :
City : ORLANDO
State : FL
Zip : 32835-8780
Country : US
Telephone Number : 954-999-7048
Fax Number :
Authorized Official
Title or Position : CEO
Name : DEBORAH VALVERDE
Credential : LMHC
Telephone Number : 954-999-7048
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “PURPOSE BRAIN WELLNESS LLC ” Practice Location

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