Healthcare Provider Details

I. General information

NPI: 1699583492
Provider Name (Legal Business Name): A SURE WORD COMMUNITY OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2024
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 KEMPER ST STE 305
LYNCHBURG VA
24501-1971
US

IV. Provider business mailing address

1503 KEMPER ST STE 305
LYNCHBURG VA
24501-1971
US

V. Phone/Fax

Practice location:
  • Phone: 910-261-1149
  • Fax:
Mailing address:
  • Phone: 910-261-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: TAORMINA HOWARD
Title or Position: FOUNDER AND EXECUTIVE DIRECTOR
Credential:
Phone: 855-734-4449