Father'S Child Ministry
Organization Active NPI Community/Behavioral Health Agency · Columbus, MS
NPI 1083076418 · NPPES record last updated Mar 24, 2016
Key facts
- NPI
- 1083076418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1836 (MS)
- Legal business name
- FATHER'S CHILD MINISTRY
- Practice address
- 104 Brickerton St
Columbus, MS 39701-3608 - Phone
- (662) 328-3110
- Fax
- (662) 328-3135
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward L Yeates, LPC
- Title
- Ceo
- Phone
- (662) 328-3110
Practitioners 3
-
Betty Ann Dobbs, APRN
-
Tawana Gipson, PMHNP-BC
National Provider Directory
Locations
104 Brickerton St
Columbus, MS 39701
Phone (662) 251-4632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1836 | MS | Yes |
Addresses
Primary practice location
104 Brickerton St
Columbus, MS 39701-3608
Mailing address
104 Brickerton St
Columbus, MS 39701-3608
Phone (662) 328-3110
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All providers in Columbus, MS · Community/Behavioral Health Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.