CHILDREN OF PROMISE MENTORING PROGRAM NPI 1568058410

NPI Information

NPI: 1568058410
Provider Name: CHILDREN OF PROMISE MENTORING PROGRAM
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1030 5TH AVE SUITE # 1200
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 529-1543
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CHILDREN OF PROMISE MENTORING PROGRAM is a mental health counselor in Cedar Rapids, IA. CHILDREN OF PROMISE MENTORING PROGRAM NPI is 1568058410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1030 5TH AVE SUITE # 1200
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 529-1543
Fax: (833) 667-0184

The provider's authorized official is Giorannia Martine Pledgejohnson .
The authorized official title is Vice President/treasurer and has the following contact phone number (319) 505-7537.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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