Organization
PURPOSELY MINDFUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LATOYA HODGES LISW (THERAPIST, LISW)
(803) 216-5305
Entity
Organization
Contact information
Practice address
815 VANGUARD ST, LEXINGTON, SC 29073-9791
(803) 216-5305
Mailing address
815 VANGUARD ST, LEXINGTON, SC 29073-9791
(803) 216-5305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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