MEDICARE: THERAPY WITH PURPOSE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker
4	106H00000X	Marriage & Family Therapist
5	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse
6	163WP0808X	Psychiatric/Mental Health Registered Nurse
7	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse
8	251S00000X	Community/Behavioral Health Agency
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
10	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1194491399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY WITH PURPOSE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6237
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-0621
Country	:	US
Telephone Number	:	480-404-0844
Fax Number	:

Provider Business Practice Location Address
First Line	:	8607 N 59TH AVE STE C1
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-5435
Country	:	US
Telephone Number	:	480-404-0844
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BRIANNA S MARSHALL
Credential	:	LCSW
Telephone Number	:	559-274-3801

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	10/22/2024

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Directions to “THERAPY WITH PURPOSE, LLC ” Practice Location

Language	Start Address	Practice Location

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