Provider Demographics
NPI:1497375919
Name:PURPOSEFUL LIFE COUNSELING AND PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:PURPOSEFUL LIFE COUNSELING AND PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:615-423-4344
Mailing Address - Street 1:431 NISSAN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4365
Mailing Address - Country:US
Mailing Address - Phone:615-462-6688
Mailing Address - Fax:615-462-7151
Practice Address - Street 1:431 NISSAN DR STE 200
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4365
Practice Address - Country:US
Practice Address - Phone:615-462-6688
Practice Address - Fax:615-462-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty