1144253253 NPI number — MACKELL TRAINING & CONSULTANTS INC.

Table of content: (NPI 1144253253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144253253 NPI number — MACKELL TRAINING & CONSULTANTS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MACKELL TRAINING & CONSULTANTS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ELMIRA J KING LCSW
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144253253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4915 RADFORD AVE
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23230-3528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-355-2124
Provider Business Mailing Address Fax Number:
804-355-2047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4915 RADFORD AVE
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23230-3528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-355-2124
Provider Business Practice Location Address Fax Number:
804-355-2047
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KING
Authorized Official First Name:
ELMIRA
Authorized Official Middle Name:
JOHNSON
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
808-355-2124

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  0904002787 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 184802 . This is a "HEALTHKEEPRS PLUS & PPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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