FIRST VICTORY BAPTIST CHURCH NPI 1306005103

NPI Information

NPI: 1306005103
Provider Name: FIRST VICTORY BAPTIST CHURCH

Other Name: MASON'S BOYS AND GIRLS WORLD

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5461 STONEWALL TELL RD
COLLEGE PARK, GA
ZIP 30349
Phone: (770) 969-4744
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FIRST VICTORY BAPTIST CHURCH is a mental health counselor in College Park, GA. FIRST VICTORY BAPTIST CHURCH NPI is 1306005103. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mason's Boys And Girls World.

The provider's business location address is:

5461 STONEWALL TELL RD
COLLEGE PARK, GA
ZIP 30349-458
Phone: (770) 969-4744

The provider's authorized official is Michael Winfree .
The authorized official title is Church Administrator and has the following contact phone number (770) 969-4744.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

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

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