1669944013 NPI number — ABILITIES FIRST COUNSELING & EMPOWERMENT SERVICES, LLC.

Table of content: FATIMA RAYA PAULO BARRAQUIO (NPI 1013775832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669944013 NPI number — ABILITIES FIRST COUNSELING & EMPOWERMENT SERVICES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITIES FIRST COUNSELING & EMPOWERMENT SERVICES, LLC.
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:
1669944013
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
N4572 446TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MENOMONIE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54751-5453
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
N4572 446TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MENOMONIE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54751-5453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-309-4099
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2018

Additional Information

Authorized Official

Authorized Official Last Name:
KLEIST
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
715-309-4099

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com