Provider Demographics
NPI:1811187438
Name:PURPOSE, INC
Entity Type:Organization
Organization Name:PURPOSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-948-9088
Mailing Address - Street 1:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30168-1049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:770-948-9090
Practice Address - Street 1:5655 AUSTELL POWDER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-3315
Practice Address - Country:US
Practice Address - Phone:770-948-9088
Practice Address - Fax:770-948-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA169297130AMedicaid