Provider Demographics
NPI:1679148837
Name:INNER PURPOSE, LLC
Entity Type:Organization
Organization Name:INNER PURPOSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:ZOGHEB
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-234-0467
Mailing Address - Street 1:12 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-1744
Mailing Address - Country:US
Mailing Address - Phone:609-234-0467
Mailing Address - Fax:
Practice Address - Street 1:900 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-2101
Practice Address - Country:US
Practice Address - Phone:609-234-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health