Provider Demographics
NPI:1639892896
Name:POWERFUL PURPOSE PSYCHOLOGICAL & SUPPORT SERVICES
Entity Type:Organization
Organization Name:POWERFUL PURPOSE PSYCHOLOGICAL & SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUTINA MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOONAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:562-394-8900
Mailing Address - Street 1:POWERFUL PURPOSE PSYCHOLOGICAL & SUPPORT SERVICES PLLC
Mailing Address - Street 2:300 SOUTHTOWN CIRCLE
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571
Mailing Address - Country:US
Mailing Address - Phone:562-394-8900
Mailing Address - Fax:
Practice Address - Street 1:POWERFUL PURPOSE PSYCHOLOGICAL & SUPPORT SERVICES PLLC
Practice Address - Street 2:300 SOUTHTOWN CIRCLE
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571
Practice Address - Country:US
Practice Address - Phone:562-394-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No251S00000XAgenciesCommunity/Behavioral Health