1902175516 NPI number — COACHING, COUNSELING & MENTORING SERVICES, INC.

Table of content: (NPI 1902175516)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902175516 NPI number — COACHING, COUNSELING & MENTORING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COACHING, COUNSELING & MENTORING SERVICES, INC.
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:
6
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:
1902175516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
LATIMER POST OFFICE
Provider Second Line Business Mailing Address:
BOX 476
Provider Business Mailing Address City Name:
LATIMER
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50452
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
641-580-0423
Provider Business Mailing Address Fax Number:
509-461-5656

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
207 HARRIMAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALEXANDER
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50420-8062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-580-0423
Provider Business Practice Location Address Fax Number:
509-461-5656
Provider Enumeration Date:
12/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SCHEAR
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
H
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
641-580-0423

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  0320 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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