1255889309 NPI number — A NEW DIRECTION THERAPEUTIC AND EDUCATIONAL SERVICES

Table of content: (NPI 1255889309)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255889309 NPI number — A NEW DIRECTION THERAPEUTIC AND EDUCATIONAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A NEW DIRECTION THERAPEUTIC AND EDUCATIONAL SERVICES
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:
1255889309
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 26101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TROTWOOD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45426-0101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-993-7109
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3660 MANDALAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROTWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45416-1122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-993-7109
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CULPEPPER
Authorized Official First Name:
TAWNYELL
Authorized Official Middle Name:
NIKKO
Authorized Official Title or Position:
CLINICAL THERAPIST
Authorized Official Telephone Number:
937-993-7109

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  I.200311 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: I.200311 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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