Healthcare Provider Details

I. General information

NPI: 1659602886
Provider Name (Legal Business Name): NATIONAL ASSOC OF WOMEN IN MINISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 PALM BEACH TRACE DR
ROYAL PALM BEACH FL
33411-1268
US

IV. Provider business mailing address

PO BOX 705
WEST PALM BEACH FL
33402-0705
US

V. Phone/Fax

Practice location:
  • Phone: 561-598-8862
  • Fax:
Mailing address:
  • Phone: 561-598-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. VERNELL KING
Title or Position: EXECUTIVE DIRECTOR
Credential: MA-PSY
Phone: 561-598-8862