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Organization
PURPOSE PLACE, LLC
Active
Organization
PURPOSE PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA WILDER MA, LPC (CEO)
(706) 267-9647
Entity
Organization
Contact information
Practice address
1121 LANEY WALKER BLVD, AUGUSTA, GA 30901-2869
(706) 267-9647
Mailing address
PO BOX 5052, AUGUSTA, GA 30916-5052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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