Provider Demographics
NPI:1972137727
Name:ON PURPOSE COUNSELING
Entity type:Organization
Organization Name:ON PURPOSE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST, LCSW
Authorized Official - Prefix:
Authorized Official - First Name:MANOUCHEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-285-5861
Mailing Address - Street 1:525 ROUTE 73 S STE 306B
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9644
Mailing Address - Country:US
Mailing Address - Phone:856-285-5861
Mailing Address - Fax:856-252-0170
Practice Address - Street 1:525 ROUTE 73 S STE 306B
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9644
Practice Address - Country:US
Practice Address - Phone:856-285-5861
Practice Address - Fax:856-252-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty