Provider Demographics
NPI:1043918436
Name:UNITED EVANGELISTIC CONSULTING ASSOCIATION
Entity Type:Organization
Organization Name:UNITED EVANGELISTIC CONSULTING ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STANDBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, MIN,MSLAW,MED
Authorized Official - Phone:708-270-1696
Mailing Address - Street 1:536-538 EAST 147TH STREET
Mailing Address - Street 2:STANDBERRY CHRISTIAN ACADEMY
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-1095
Mailing Address - Country:US
Mailing Address - Phone:708-270-1696
Mailing Address - Fax:708-223-2681
Practice Address - Street 1:538 WEST SIBLEY BLVD
Practice Address - Street 2:STANDBERRY CHRISTIAN ACADEMY BUILDING
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1095
Practice Address - Country:US
Practice Address - Phone:708-270-1696
Practice Address - Fax:708-223-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)