Provider Demographics
NPI:1508246075
Name:THE MENTORING PROJECT FOR CHILDREN & FAMILIES
Entity Type:Organization
Organization Name:THE MENTORING PROJECT FOR CHILDREN & FAMILIES
Other - Org Name:TMP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PRACTIONER
Authorized Official - Phone:706-503-1100
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-0428
Mailing Address - Country:US
Mailing Address - Phone:706-503-1100
Mailing Address - Fax:
Practice Address - Street 1:2703 PEACH ORCHARD RD STE C
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-2407
Practice Address - Country:US
Practice Address - Phone:706-503-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-31
Last Update Date:2015-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency