| Organization Name: | EPHESIANS LIFE MINISTRIES |
| NPI Number: | 1003967563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNNY S PARK (THERAPIST) |
| Mailing Address: | 260 Cedar Ln Se # B Vienna |
| State: | VA US |
| Postal Code: | 221806698 |
| Phone Number: | 7032040250 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 11220 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |