Purpose Driven Support Services

LBN: Purpose Driven Support Services
Purpose Driven Support Services is an health care organization with primary practice located at 9575 Ky Hwy 122 Suite 6, East Mc Dowell KY 41647-4164. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Purpose Driven Support Services can be contacted via phone (606) 949-1623, or through Stumbo, Samantha via phone (606) 359-0700.

Contact Information

Primary practice address
9575 Ky Hwy 122 Suite 6 East Mc Dowell KY 41647-4164
Phone: (606) 949-1623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stumbo, Samantha LMFT, TCADC
Phone: (606) 359-0700

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780209692
LBN Legal business name Purpose Driven Support Services
DBA Doing business as
Authorized official Stumbo, Samantha LMFT, TCADC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2020
Last updated Feb 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780209692 NPPES
Kentucky MEDICAID 7100674370

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