Organization
LASTING PURPOSE FOUNDATION INC
Active
Organization
LASTING PURPOSE FOUNDATION INC
Active
Other names
Lasting Purpose Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKURA A TELA DC (PROVIDER)
(240) 642-8392
Entity
Organization
Contact information
Practice address
4061 POWDER MILL RD STE 107, BELTSVILLE, MD 20705-3156
(240) 642-8392
Mailing address
4061 POWDER MILL RD STE 107, BELTSVILLE, MD 20705-3156
(240) 642-8392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251300000X
Local Education Agency (LEA)
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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