Provider Demographics
NPI:1598489403
Name:A & M DEFINING LIFE'S PURPOSE LLC
Entity Type:Organization
Organization Name:A & M DEFINING LIFE'S PURPOSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:S
Authorized Official - Last Name:FIELDS-LANKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-937-9449
Mailing Address - Street 1:681 TRAILS LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-8251
Mailing Address - Country:US
Mailing Address - Phone:757-208-5415
Mailing Address - Fax:757-282-2664
Practice Address - Street 1:11028 WARWICK BLVD STE D
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3253
Practice Address - Country:US
Practice Address - Phone:757-208-5415
Practice Address - Fax:757-282-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty