Provider Demographics
NPI:1578866794
Name:NO LONGER ALONE MININSTRIES, INC
Entity Type:Organization
Organization Name:NO LONGER ALONE MININSTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, CPRP
Authorized Official - Phone:717-390-4891
Mailing Address - Street 1:630 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4527
Mailing Address - Country:US
Mailing Address - Phone:717-390-4891
Mailing Address - Fax:717-390-4894
Practice Address - Street 1:630 JANET AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4527
Practice Address - Country:US
Practice Address - Phone:717-390-4891
Practice Address - Fax:717-390-4894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA328400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health