Provider Demographics
NPI:1962706408
Name:PURPOSE PROJECT, LLC
Entity type:Organization
Organization Name:PURPOSE PROJECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SHEPHARD
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MA
Authorized Official - Phone:404-287-8556
Mailing Address - Street 1:PO BOX 831498
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-0025
Mailing Address - Country:US
Mailing Address - Phone:404-287-8556
Mailing Address - Fax:
Practice Address - Street 1:677 ANTONE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-7601
Practice Address - Country:US
Practice Address - Phone:404-695-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-26
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005094251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health