ENVISIONED PURPOSE LLC NPI 1366018541

NPI Information

  • NPI: 1366018541
  • Provider Name: ENVISIONED PURPOSE LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1477 S BETHANY RD
    LOCUST GROVE, GA
    ZIP 30248
  • Phone: (470) 765-8770

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NPI Details

ENVISIONED PURPOSE LLC is a professional counselor in Locust Grove, GA. ENVISIONED PURPOSE LLC NPI is 1366018541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1477 S BETHANY RD
LOCUST GROVE, GA
ZIP 30248
Phone: (470) 765-8770

The provider's authorized official is Kristina Nemard .
The authorized official title is Psychotherapist and has the following contact phone number (678) 463-0324.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 3/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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