EPHESIANS LIFE MINISTRIES NPI 1003967563

NPI Information

NPI: 1003967563
Provider Name: EPHESIANS LIFE MINISTRIES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
260 CEDAR LN SE # B
VIENNA, VA
ZIP 22180
Phone: (703) 204-0250
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EPHESIANS LIFE MINISTRIES is a mental health counselor in Vienna, VA. EPHESIANS LIFE MINISTRIES NPI is 1003967563. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

260 CEDAR LN SE # B
VIENNA, VA
ZIP 22180-698
Phone: (703) 204-0250

The provider's authorized official is Sunny S Park .
The authorized official title is Therapist and has the following contact phone number (240) 472-3216.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.

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	11220	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	0904005471	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	258321	OTHER	MARYLAND	KAISER
2	351252	OTHER	MARYLAND	MHN
3	7839381	OTHER	MARYLAND	AETNA
4	2133171	OTHER	MARYLAND	MAMSI
5	633647	OTHER	MARYLAND	NCPPO

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

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