1255081915 NPI number — E'S MASSAGE AND RELAXATION: THE TOTAL MAN: MIND, BODY, AND SOUL

Table of content: MRS. RITA DINA LAMBERG MSW CSW LCSWR (NPI 1033299847)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255081915 NPI number — E'S MASSAGE AND RELAXATION: THE TOTAL MAN: MIND, BODY, AND SOUL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
E'S MASSAGE AND RELAXATION: THE TOTAL MAN: MIND, BODY, AND SOUL
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:
Provider Other Organization Name Type Code:
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:
1255081915
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
728 JAMES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNION SPRINGS
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36089-2151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-748-8670
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 PRAIRIE ST N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNION SPRINGS
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36089-1651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-473-1635
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2022

Additional Information

Authorized Official

Authorized Official Last Name:
SHEPHERD
Authorized Official First Name:
ERICA
Authorized Official Middle Name:
DENISE
Authorized Official Title or Position:
MASSAGE THERAPIST
Authorized Official Telephone Number:
334-473-1635

Provider Taxonomy Codes

  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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