PROPHETIC HEALING DELIVERANCE MINISTRY OF MYSTERIES, INC (NPI# 1366089641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366089641 |
Entity Type | Organization |
Organization Name | PROPHETIC HEALING DELIVERANCE MINISTRY OF MYSTERIES, INC |
Practice Address |
8550-2 Lone Star Road Jacksonville FL 32211 |
Mailing Address |
2943 Searchwood Dr Jacksonville FL 32277-3435 |
Practice Telephone | 9042573769 |
Mailing Telephone | 5617526141 |
Enumeration Date | 2019-12-05 |
Last Update Date | 2019-12-05 |
Authorized Official Name | DR. JUNO AKBAR (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9042573769 |
Authorized Official Credential | DDIV |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
PhdMom's Christian Counseling Center | Doing Business As Name - Organization |
Street Address |
8550-2 LONE STAR ROAD |
City | JACKSONVILLE |
State | FL |
Zip Code | 32211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
1881146074 | Arthur Hairston | Technician, Other | 5633 Clifton Lane, Jacksonville, FL 32211 | 2016-11-04 |
Find all providers in zip 32211 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073078754 | Sean Alexander | Counselor | 8433 Southside Blvd Apt 911, Jacksonville, FL 32256-8473 | 2019-02-06 |
1598232258 | Heart Touch Change Lives (htcl) Ministry, Inc. | Counselor | 5455 Verna Blvd Unit 61446, Jacksonville, FL 32205-4762 | 2018-10-30 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
1457788069 | Bridge Builders Mediation and Family Services | Counselor | 1460 Cassat Ave Ste B, Jacksonville, FL 32205-7202 | 2013-09-27 |
1821304411 | Keriomi N Timpson-bey | Counselor | 15414 Spotted Stallion Trl, Jacksonville, FL 32234-2398 | 2010-08-20 |
1013244433 | Michele A Fleming | Counselor | 2843 Sweetholly Dr, Jacksonville, FL 32223-0798 | 2009-11-05 |
1346336690 | James B. Williams Jr. | Counselor | 2700 Fire Fighter Memorial Dr, Jacksonville, FL 32246-9539 | 2006-10-05 |
1669939286 | Anthony Fisher | Counselor | 193 Bradford Lake Cir, Jacksonville, FL 32218-0103 | 2019-03-01 |
1487740759 | Crisis & Christian Counseling, Inc | Counselor | 2700 Fire Fighter Memorial Dr, Jacksonville, FL 32246-9539 | 2006-10-05 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32211 |
Please comment or provide details below to improve the information on PROPHETIC HEALING DELIVERANCE MINISTRY OF MYSTERIES, INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.