| Powerful Purpose Psychological & Support Services | |
|
1618 Us 1 Hwy Youngsville NC 27596-9219 | |
| (562) 394-8900 | |
| Not Available |
| Full Name | Powerful Purpose Psychological & Support Services |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1618 Us 1 Hwy, Youngsville, North Carolina |
| Authorized Official Name and Position | Trutina-maria Spoonamore (PSYCHOLOGIST) |
| Authorized Official Contact | 9195003398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerful Purpose Psychological & Support Services 300 Southtown Cir Rolesville NC 27571-9573 Ph: (562) 394-8900 | Powerful Purpose Psychological & Support Services 1618 Us 1 Hwy Youngsville NC 27596-9219 Ph: (562) 394-8900 |
| NPI Number | 1639892896 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/07/2024 |
| Certification Date | 09/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639892896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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