| Purposed Life, Llc | |
|
312 N Durham Ave Gallatin TN 37066-2756 | |
| (615) 241-9020 | |
| (855) 272-8329 |
| Full Name | Purposed Life, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 312 N Durham Ave, Gallatin, Tennessee |
| Authorized Official Name and Position | Benjamin Roberts (MEMBER) |
| Authorized Official Contact | 6152419020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposed Life, Llc 312 N Durham Ave Gallatin TN 37066-2756 Ph: (615) 241-9020 | Purposed Life, Llc 312 N Durham Ave Gallatin TN 37066-2756 Ph: (615) 241-9020 |
| NPI Number | 1619574530 |
|---|---|
| Provider Enumeration Date | 10/04/2020 |
| Last Update Date | 10/04/2020 |
| Certification Date | 10/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619574530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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