Provider Demographics
NPI:1477104727
Name:PURPOSE COUNSELING AND MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PURPOSE COUNSELING AND MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:225-999-2066
Mailing Address - Street 1:16260 AIRLINE HWY STE D
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-4271
Mailing Address - Country:US
Mailing Address - Phone:225-999-2066
Mailing Address - Fax:
Practice Address - Street 1:11011 CAL RD APT 94
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2873
Practice Address - Country:US
Practice Address - Phone:225-999-2206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty