Provider Demographics
NPI:1578151932
Name:SEEDS OF LIFE MINISTRIES INC
Entity Type:Organization
Organization Name:SEEDS OF LIFE MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARRAL
Authorized Official - Middle Name:MOSS
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:478-227-6525
Mailing Address - Street 1:2138 SHURLING DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-2335
Mailing Address - Country:US
Mailing Address - Phone:478-227-6525
Mailing Address - Fax:478-245-0981
Practice Address - Street 1:2138 SHURLING DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-2335
Practice Address - Country:US
Practice Address - Phone:478-227-6525
Practice Address - Fax:478-245-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-01
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)