Shacklefree Ministries

  • 1356695480 NPI Number
  • |
  • Actived: 6 years ago
  • |
According to our database, NPI number for Shacklefree Ministries is 1356695480 and actived since Friday, October 26 2012. Shacklefree Ministries is an Organization provider specializes in Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Provider information was last updated on 10/26/2012.

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Overview of Shacklefree Ministries

  • NPI number: 1689175101
  • Provider type: Organization
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • Active since: 10/26/2012
  • Last updated: 10/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 409 N Fredonia St
    Suite 116
    Longview, TX 75601
  • Phone: 903-917-6632
  • Fax:

Provider Practice Location

  • Address: 409 N Fredonia St
    Suite 116
    Longview, TX 75601
  • Phone: 903-917-6632
  • Fax:

Authorized Official

  • Name: MRS. Virginia Lea Taylor BCLBT
  • Position/Title: Christian Counselor
  • Telephone Number: 903-917-6632

Scope of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Shacklefree Ministries?
  • A: The npi number for Shacklefree Ministries is 1356695480.
  • Q: What are Shacklefree Ministries's specialties?
  • A: Shacklefree Ministries's specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
  • Q: Where is Shacklefree Ministries business practice location?
  • A: Shacklefree Ministries business practice location is 409 N Fredonia St, Longview, TX 75601.
  • Q: How to contact Shacklefree Ministries?
  • A: You can contact Shacklefree Ministries via 903-917-6632.
  • Q: What is the authorized official for Shacklefree Ministries?
  • A: The authorized office name is MRS. Virginia Lea Taylor BCLBT with position/title is Christian Counselor and you can reach the authorized official via phone number 9039176632.