Provider Demographics
NPI:1578785697
Name:LIVING WORD MINISTRIES INC DBA NYCCC
Entity Type:Organization
Organization Name:LIVING WORD MINISTRIES INC DBA NYCCC
Other - Org Name:NEW YORK CHRISTIAN COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:TWERELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DPC
Authorized Official - Phone:212-964-3364
Mailing Address - Street 1:7 DEY ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3105
Mailing Address - Country:US
Mailing Address - Phone:212-964-3364
Mailing Address - Fax:212-964-3370
Practice Address - Street 1:7 DEY ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3105
Practice Address - Country:US
Practice Address - Phone:212-964-3364
Practice Address - Fax:212-964-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty