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NPI Code Detail

MEDICARE: THERAPY WITH PURPOSE, LLC

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 License Number License Number State
1251B00000XCase Management Agency
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YP2500XProfessional Counselor
41041C0700XClinical Social Worker
5106H00000XMarriage & Family Therapist
6261Q00000XClinic/Center
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
8261QM1300XMulti-Specialty Clinic/Center
9261QM0850XAdult Mental Health Clinic/Center
10261QM0855XAdolescent and Children Mental Health Clinic/Center
11261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
12324500000XSubstance Abuse Rehabilitation Facility
133245S0500XChildren's Substance Abuse Rehabilitation Facility
14251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1508640301
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 : 480-781-4795
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 : 480-781-4795
Authorized Official
Title or Position : CEO
Name : BRIANNA SHACOLE MARSHALL
Credential : LCSW, MBA
Telephone Number : 559-274-3801
Provider Enumeration Date : 08/22/2023
Last Update Date : 08/22/2023

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Directions to “THERAPY WITH PURPOSE, LLC ” Practice Location

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