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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