Provider Demographics
NPI:1235559444
Name:WHITESTONE PRAYER MINISTRIES
Entity Type:Organization
Organization Name:WHITESTONE PRAYER MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DR MINISTRY
Authorized Official - Phone:757-627-1967
Mailing Address - Street 1:645 CHURCH ST
Mailing Address - Street 2:205
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1712
Mailing Address - Country:US
Mailing Address - Phone:757-627-1967
Mailing Address - Fax:757-625-0719
Practice Address - Street 1:645 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1712
Practice Address - Country:US
Practice Address - Phone:757-627-1967
Practice Address - Fax:757-625-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-27
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251V00000X251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA13573577Medicaid