Provider Demographics
NPI:1093273245
Name:WINNING EDGE EMPLOYMENT SERVICES LLC
Entity Type:Organization
Organization Name:WINNING EDGE EMPLOYMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:PONDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-926-6988
Mailing Address - Street 1:PO BOX 130692
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75713-0692
Mailing Address - Country:US
Mailing Address - Phone:214-926-6988
Mailing Address - Fax:
Practice Address - Street 1:1530 S SW LOOP 323 STE 104
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2558
Practice Address - Country:US
Practice Address - Phone:214-926-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health