Provider Demographics
NPI:1477756278
Name:PURPOSE PSYCHOLOGY
Entity Type:Organization
Organization Name:PURPOSE PSYCHOLOGY
Other - Org Name:BONNIE M. MOORE LINDSKOG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:MADELINE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:281-444-9553
Mailing Address - Street 1:1922 WAGON GAP TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1026
Mailing Address - Country:US
Mailing Address - Phone:281-444-9553
Mailing Address - Fax:281-444-9553
Practice Address - Street 1:1922 WAGON GAP TRL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1026
Practice Address - Country:US
Practice Address - Phone:281-444-9553
Practice Address - Fax:281-444-9553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PURPOSE DEVELOPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-08
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH00028QK01OtherBILLING PFIN, NETWORK: PAR