Provider Demographics
NPI:1316419658
Name:PURPOSEFUL INNOVATIVE EDUCATION SOLUTIONS LLC
Entity type:Organization
Organization Name:PURPOSEFUL INNOVATIVE EDUCATION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-762-7981
Mailing Address - Street 1:1121 POWDER CT
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5571
Mailing Address - Country:US
Mailing Address - Phone:919-762-7981
Mailing Address - Fax:
Practice Address - Street 1:1121 POWDER CT
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5571
Practice Address - Country:US
Practice Address - Phone:919-762-7981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities