Provider Demographics
NPI:1235552647
Name:FIRST BAPTIST CHURCH OF LEXINGTON
Entity Type:Organization
Organization Name:FIRST BAPTIST CHURCH OF LEXINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-957-0686
Mailing Address - Street 1:415 BARR RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2371
Mailing Address - Country:US
Mailing Address - Phone:803-957-0686
Mailing Address - Fax:
Practice Address - Street 1:415 BARR RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2371
Practice Address - Country:US
Practice Address - Phone:803-957-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service