1790995173 NPI number — BLANTON PEALE COMMUNITY COUNSELING CENTERS

Table of content: (NPI 1790995173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790995173 NPI number — BLANTON PEALE COMMUNITY COUNSELING CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLANTON PEALE COMMUNITY COUNSELING CENTERS
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:
1790995173
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:
949 W END AVE APT 10F
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10025-3586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-662-8986
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FIRST UNITARIAN CHURCH
Provider Second Line Business Practice Location Address:
50 MONROE PLACE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-253-9001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ENNIS
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
PATER
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
718-253-9001

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  000677 , registered in the state of NY ; 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