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Organization
THE PURPLE WELLNESS TRUST INC
Active
Organization
THE PURPLE WELLNESS TRUST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HOWARD MACG, MAED, LCPC (EXECUTIVE DIRECTOR)
(312) 344-3132
Entity
Organization
Contact information
Practice address
7613 N BOSWORTH AVE APT 3E, CHICAGO, IL 60626-6244
(312) 344-3132
Mailing address
7131 W 135TH ST STE 1072, OVERLAND PARK, KS 66223-1238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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