Provider Demographics
NPI:1528801289
Name:PURPOSE COUNSELING
Entity type:Organization
Organization Name:PURPOSE COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LCSW, OUTPATIENT CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA LANDEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-920-6387
Mailing Address - Street 1:1719 VASILION PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-6177
Mailing Address - Country:US
Mailing Address - Phone:505-920-6387
Mailing Address - Fax:
Practice Address - Street 1:1719 VASILION PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-6177
Practice Address - Country:US
Practice Address - Phone:505-920-6387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PURPOSE COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-18
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty