Provider Demographics
NPI:1083502348
Name:PEACE AND PURPOSE HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:PEACE AND PURPOSE HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRADDICK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-314-9509
Mailing Address - Street 1:116 CALEB WAY
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-3825
Mailing Address - Country:US
Mailing Address - Phone:678-314-9509
Mailing Address - Fax:
Practice Address - Street 1:116 CALEB WAY
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-3825
Practice Address - Country:US
Practice Address - Phone:678-314-9509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty