Provider Demographics
NPI:1073786976
Name:FRONTLINE MINISTRIES
Entity Type:Organization
Organization Name:FRONTLINE MINISTRIES
Other - Org Name:CURE COUNSELING & ASSESSMENT TRAINING CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:C.
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, LAPC
Authorized Official - Phone:770-252-3760
Mailing Address - Street 1:2594 HIGHWAY 34 EAST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265
Mailing Address - Country:US
Mailing Address - Phone:770-252-3760
Mailing Address - Fax:678-298-7637
Practice Address - Street 1:2594 HIGHWAY 34 EAST
Practice Address - Street 2:SUITE B
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265
Practice Address - Country:US
Practice Address - Phone:770-252-3760
Practice Address - Fax:678-298-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0013411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty