Envisioned Purpose LLC
NPI #1366018541 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1366018541
- Entity Type
- Organization
- Organization Name
- Envisioned Purpose LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 28, 2021
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 1477 S BETHANY RD
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248
- Phone
- (470) 765-8770
Authorized Official
- Name
- DR. KRISTINA NEMARD, PHD LPC
- Title
- PSYCHOTHERAPIST
- Phone
- (678) 463-0324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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