Provider Demographics
NPI:1790948735
Name:BELOVED GREAT COMMISSION SERVICES
Entity Type:Organization
Organization Name:BELOVED GREAT COMMISSION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM/DON
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS HARRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-781-7920
Mailing Address - Street 1:230 ROCKY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3073
Mailing Address - Country:US
Mailing Address - Phone:210-781-7920
Mailing Address - Fax:
Practice Address - Street 1:230 ROCKY RIDGE DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3073
Practice Address - Country:US
Practice Address - Phone:210-781-7920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX753693251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management