1932878592 NPI number — SEEDS OF HOPE MENTAL HEALTH COUNSELING SERVICES, PLLC

Table of content: (NPI 1932878592)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932878592 NPI number — SEEDS OF HOPE MENTAL HEALTH COUNSELING SERVICES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEEDS OF HOPE MENTAL HEALTH COUNSELING SERVICES, PLLC
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:
1932878592
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14 PLEASANT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SENECA FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13148-1320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-730-2741
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
590 PRE EMPTION RD STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GENEVA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14456-1372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-273-1883
Provider Business Practice Location Address Fax Number:
833-411-1317
Provider Enumeration Date:
09/08/2021

Additional Information

Authorized Official

Authorized Official Last Name:
LUFFMAN
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
315-730-2741

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1538490743 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".




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