Healthcare Provider Details

I. General information

NPI: 1558920173
Provider Name (Legal Business Name): SHEPHERD'S VOICE MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1379 NE 51ST LOOP
OCALA FL
34479-7692
US

IV. Provider business mailing address

1379 NE 51ST LOOP
OCALA FL
34479-7692
US

V. Phone/Fax

Practice location:
  • Phone: 352-598-3555
  • Fax: 352-694-6312
Mailing address:
  • Phone: 352-598-3555
  • Fax: 352-351-2777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MARIE E. STEELE
Title or Position: RN, BHN, LICENSED PASTORAL COUNSELO
Credential: RN
Phone: 352-598-3555