Provider Demographics
NPI:1942012133
Name:PURSUIT OF PURPOSE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PURSUIT OF PURPOSE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER/PSYCOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NAZLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-GUNTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC
Authorized Official - Phone:443-990-1345
Mailing Address - Street 1:5835 YORK RD # 1248
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3612
Mailing Address - Country:US
Mailing Address - Phone:443-990-1345
Mailing Address - Fax:
Practice Address - Street 1:1304 LAVENDER LN
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1686
Practice Address - Country:US
Practice Address - Phone:443-990-1345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty