Provider Demographics
NPI:1316812035
Name:PEACE AND PURPOSE THERAPY LLC
Entity type:Organization
Organization Name:PEACE AND PURPOSE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ICS, CSAC
Authorized Official - Phone:224-404-0635
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU SAC
Mailing Address - State:WI
Mailing Address - Zip Code:53578-0042
Mailing Address - Country:US
Mailing Address - Phone:224-404-0635
Mailing Address - Fax:
Practice Address - Street 1:855 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:SAUK CITY
Practice Address - State:WI
Practice Address - Zip Code:53583-1380
Practice Address - Country:US
Practice Address - Phone:224-404-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty