Provider Demographics
NPI:1043730682
Name:A PURPOSE LIFE COUNSELING, LLC
Entity type:Organization
Organization Name:A PURPOSE LIFE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:B
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCPC, NCC
Authorized Official - Phone:770-322-4619
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0019
Mailing Address - Country:US
Mailing Address - Phone:707-322-4619
Mailing Address - Fax:
Practice Address - Street 1:2470 WINDY HILL ROAD
Practice Address - Street 2:SUITE 300, OFFICE 363C
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-3014
Practice Address - Country:US
Practice Address - Phone:770-322-4619
Practice Address - Fax:844-867-8402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)