Purposed Life, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PURPOSED LIFE, LLC

Practice address

312 N Durham Ave
Gallatin, TN 37066-2756

Phone

(615) 241-9020

Fax

(855) 272-8329

NPI assigned

Oct 4, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Roberts III

Title

Member

Phone

(615) 241-9020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1619574530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N DURHAM AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662756",
            "telephone_number": "615-241-9020",
            "fax_number": "855-272-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N DURHAM AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662756",
            "telephone_number": "615-241-9020",
            "fax_number": "855-272-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-241-9020",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.