Organization
POWER INTO PURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE RUSSELL LCSW (CO-OWNER)
(502) 408-4969
Entity
Organization
Contact information
Practice address
901 S 15TH ST STE 117, LOUISVILLE, KY 40210-1369
(502) 744-2105
Mailing address
901 S 15TH ST STE 117, LOUISVILLE, KY 40210-1369
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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