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Organization

JOURNEY THROUGH LIFE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN PURNELL M.ED., LPCS (CHIEF EXECUTIVE OFFICER)
(919) 448-6105
Entity
Organization

Contact information

Practice address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7389
(919) 448-6105
Mailing address
3722 BENSON DR STE 101, RALEIGH, NC 27609-7389
(919) 448-6105

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S5551
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6008151
NC
Enumeration date
09/01/2016
Last updated
09/01/2016
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