| Defined With Purpose Inc | |
|
337 W Pike St Lawrenceville GA 30046-4843 | |
| (404) 707-4434 | |
| Not Available |
| Full Name | Defined With Purpose Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 337 W Pike St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Kelly Elizabeth Hughes (CLINICAL DIRECTION) |
| Authorized Official Contact | 7706957501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defined With Purpose Inc 337 W Pike St Lawrenceville GA 30046-4843 Ph: () - | Defined With Purpose Inc 337 W Pike St Lawrenceville GA 30046-4843 Ph: (404) 707-4434 |
| NPI Number | 1871170449 |
|---|---|
| Provider Enumeration Date | 03/28/2021 |
| Last Update Date | 03/28/2021 |
| Certification Date | 03/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871170449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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