Healthcare Provider Details

I. General information

NPI: 1619044799
Provider Name (Legal Business Name): DOMINION MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N GREGSON ST SUITE 3E
DURHAM NC
27701-1155
US

IV. Provider business mailing address

1530 N GREGSON ST SUITE 3E
DURHAM NC
27701-1155
US

V. Phone/Fax

Practice location:
  • Phone: 919-416-1830
  • Fax: 919-416-8883
Mailing address:
  • Phone: 919-416-1830
  • Fax: 919-416-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number032-354
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number032-354
License Number StateNC

VIII. Authorized Official

Name: DR. APRIL J. GILFORT
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D
Phone: 919-416-1830