Destined 4 Purpose Life Coach

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DESTINED 4 PURPOSE LIFE COACH

Practice address

9132 Marlove Oaks LN
Owings Mills, MD 21117-6709

Phone

(240) 439-1796

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Lakeisha A. Price, HEALTH/WELLNESS COACNPI 1023726940

Title

Ceo/Life Coach

Phone

(240) 439-1796

Specialties & licenses 1

Addresses

Other names 1

• Destined 4 Purpose Life Coach Doing business as

Locations

Practitioners 1

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

• Lakeisha A. Price

  • Health & Wellness Coach
  • Landover, MD
  • NPI 1023726940
  NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1265149447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 BRANDYWINE RD UNIT 749",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206130180",
            "telephone_number": "240-439-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 MARLOVE OAKS LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176709",
            "telephone_number": "240-439-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED 4 PURPOSE LIFE COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO/LIFE COACH",
        "authorized_official_telephone_number": "240-439-1796",
        "authorized_official_credential": "HEALTH/WELLNESS COAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destined 4 Purpose Life Coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.