1063716496 NPI number — HOPE-JOY-PEACE COUNSELING SERVICES PLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063716496 NPI number — HOPE-JOY-PEACE COUNSELING SERVICES PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE-JOY-PEACE COUNSELING SERVICES PLC
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:
1063716496
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 N BROADWAY ST
Provider Second Line Business Mailing Address:
SUITE 109
Provider Business Mailing Address City Name:
MOORE
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73160-5135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-831-7791
Provider Business Mailing Address Fax Number:
405-759-2944

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N BROADWAY ST
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
MOORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73160-5135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-831-7791
Provider Business Practice Location Address Fax Number:
405-759-2944
Provider Enumeration Date:
12/28/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SEATON
Authorized Official First Name:
EVELYN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
405-831-7791

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: ACSW 882101394 . This is a "NATIONAL ASSOC OF SOCIAL WORKERS/ACADEMY OF CERTIFIED SOCIAL WORKERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2961 . This is a "LCSW" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




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