Provider Demographics
NPI:1013648211
Name:WELLNESS ON PURPOSE LLC
Entity Type:Organization
Organization Name:WELLNESS ON PURPOSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-644-9434
Mailing Address - Street 1:1243 SIMMS PLACE NE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7831
Mailing Address - Country:US
Mailing Address - Phone:202-644-9434
Mailing Address - Fax:202-844-6964
Practice Address - Street 1:1243 SIMMS PLACE NE
Practice Address - Street 2:SUITE 10
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7831
Practice Address - Country:US
Practice Address - Phone:202-644-9434
Practice Address - Fax:202-844-6964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty