Organization Name: | LIVING WORD OF GOD MINISTRIES, INC. |
NPI Number: | 1023445251 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOLORES T. RILEY (CLINICAL PASTORAL COUNSELOR) |
Mailing Address: | 9900 Ulmerton Rd 218 Largo |
State: | FL US |
Postal Code: | 337714302 |
Phone Number: | 7275151657 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2013 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | 7349105 AC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |