NPIMap

Organization Active NPI

Purposeful Change LLC

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1245019066
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURPOSEFUL CHANGE LLC
Practice address
6707 Plantation Rd Ste B3
Pensacola, FL 32504-6216
Phone
(850) 207-7085
Fax
(850) 465-3255
NPI assigned
Sep 22, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Carmella Miller, LCSWNPI 1689921157
Title
Owner
Phone
(850) 324-9864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6707 Plantation Rd Ste B3
Pensacola, FL 32504-6216

Mailing address

3457 Marcus Pointe Blvd
Pensacola, FL 32505-1890
Phone (850) 324-9864

National Provider Directory

National Provider Directory

Locations

6707 Plantation Rd
Ste B3
Pensacola, FL 32504
Phone (850) 207-7085

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1245019066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 MARCUS POINTE BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051890",
            "telephone_number": "850-324-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 PLANTATION RD STE B3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046216",
            "telephone_number": "850-207-7085",
            "fax_number": "850-465-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CARMELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-324-9864",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.