Organization · Type 2 NPI
Envisioned Purpose LLC
Professional Counselor · Locust Grove, GA
NPI number
1366018541
Active
Practice location
1477 S Bethany Rd
Locust Grove, GA 30248
Mailing address
2045 Mount Zion Rd # 126
Morrow, GA 30260-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Other professional counselor providers in Locust Grove
About NPI 1366018541
Envisioned Purpose LLC's National Provider Identifier is 1366018541, issued on May 28, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Locust Grove, GA. The record was last updated on Mar 24, 2025.