Provider Demographics
NPI:1861634958
Name:PUSH DEVELOPMENT CONSULTING INC
Entity Type:Organization
Organization Name:PUSH DEVELOPMENT CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-987-5608
Mailing Address - Street 1:PO BOX 39346
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27438-9346
Mailing Address - Country:US
Mailing Address - Phone:336-378-1612
Mailing Address - Fax:336-378-1616
Practice Address - Street 1:1108 GRECADE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8729
Practice Address - Country:US
Practice Address - Phone:336-378-1612
Practice Address - Fax:336-378-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC199106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health