Purposely Mindful, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PURPOSELY MINDFUL, LLC

Practice address

815 Vanguard St
Lexington, SC 29073-9791

Phone

(803) 216-5305

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Latoya Hodges, LISW

Title

Therapist, Lisw

Phone

(803) 216-5305

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samantha Cooper, LISW-CP

  • Social Worker
  • Lexington, SC
  • NPI 1285119438
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1336874825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 VANGUARD ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739791",
            "telephone_number": "803-216-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 VANGUARD ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739791",
            "telephone_number": "803-216-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSELY MINDFUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "THERAPIST, LISW",
        "authorized_official_telephone_number": "803-216-5305",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Pueschel, ED.S
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• Samuel Purnell, D.M.D, M.S
• Caroline Denise Pyatt
• Valentina Quetglas
• Ansley Michelle Rabon
• Bryan Mitchell Rabon, MDIV, LPC
• Radical Transformations Counseling Services LLC

• Clinical Social Worker in Lexington, SC
• Providers in Lexington, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.