Provider Demographics
NPI:1235386087
Name:GODPATH MINISTRIES, INC.
Entity Type:Organization
Organization Name:GODPATH MINISTRIES, INC.
Other - Org Name:GODPATH HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:EASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-397-6930
Mailing Address - Street 1:3620 W 10TH ST
Mailing Address - Street 2:#317
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-1853
Mailing Address - Country:US
Mailing Address - Phone:970-397-6930
Mailing Address - Fax:
Practice Address - Street 1:700 38TH ST
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-2741
Practice Address - Country:US
Practice Address - Phone:970-330-3591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20083006376251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable