Organization Active NPI

Purpose and Living Psychotherapy Services

  • Professional Counselor
  • Lithia Springs, GA
National Provider Identifier
1013665025
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PURPOSE AND LIVING PSYCHOTHERAPY SERVICES
Practice address
561 Thornton Rd Ste V
Lithia Springs, GA 30122-1558
Phone
(770) 485-9069
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mattie Finn, LPCNPI 1457734527
Title
Owner
Phone
(770) 485-9069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

561 Thornton Rd Ste V
Lithia Springs, GA 30122-1558

Mailing address

3625 Rifflewood Way
Douglasville, GA 30135-2596
Phone (770) 679-8454

Other identifiers 1

IdentifierTypeStateIssuer
003166564MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email

National Provider Directory

National Provider Directory

Locations

561 Thornton Rd
Ste V
Lithia Springs, GA 30122
Phone (770) 485-9069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1013665025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 RIFFLEWOOD WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352596",
            "telephone_number": "770-679-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 THORNTON RD STE V",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221558",
            "telephone_number": "770-485-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE AND LIVING PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-485-9069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003166564",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "561 Thornton Rd Ste V",
            "city": "Lithia Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301221558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.