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NPI Code Detail

MEDICARE: LIFE PURPOSE, INC.

MEDICARE: LIFE PURPOSE, INC.
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
11041C0700XClinical Social Worker10981MD

General Provider Information

NPI Number : 1194013706
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE PURPOSE, INC.
Provider Business Mailing Address
First Line : 700 LEEWARD CT
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5261
Country : US
Telephone Number : 301-806-6606
Fax Number :
Provider Business Practice Location Address
First Line : 700 LEEWARD CT
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5261
Country : US
Telephone Number : 301-806-6606
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MELISSA LOUISE BROWN
Credential : LCSW-C
Telephone Number : 301-806-6606
Provider Enumeration Date : 07/16/2011
Last Update Date : 07/16/2011

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Directions to “LIFE PURPOSE, INC. ” Practice Location

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