Provider Demographics
NPI:1770258956
Name:GREATER PURPOSE COUNSELING, LLC
Entity Type:Organization
Organization Name:GREATER PURPOSE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:M MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:317-696-5034
Mailing Address - Street 1:6525 E 82ND ST BLDG 10
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1570
Mailing Address - Country:US
Mailing Address - Phone:317-696-5034
Mailing Address - Fax:
Practice Address - Street 1:6525 E 82ND ST BLDG 10
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1570
Practice Address - Country:US
Practice Address - Phone:317-696-5034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INNONEOtherN/A