Provider Demographics
NPI:1609036615
Name:SHEPHERD EQUINE ASSISTED THERAPY
Entity Type:Organization
Organization Name:SHEPHERD EQUINE ASSISTED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-806-5515
Mailing Address - Street 1:1037 SAIN RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-1768
Mailing Address - Country:US
Mailing Address - Phone:704-806-5515
Mailing Address - Fax:
Practice Address - Street 1:1037 SAIN RD
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-1768
Practice Address - Country:US
Practice Address - Phone:704-806-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health