Provider Demographics
NPI:1922422302
Name:A HIGHER PURPOSE' THERAPEUTIC AND SPIRITUAL COUNSELING CENTER
Entity Type:Organization
Organization Name:A HIGHER PURPOSE' THERAPEUTIC AND SPIRITUAL COUNSELING CENTER
Other - Org Name:EXCEL HIGHER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:FITZHUGH
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-756-7010
Mailing Address - Street 1:PO BOX 3273
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-9705
Mailing Address - Country:US
Mailing Address - Phone:804-715-8798
Mailing Address - Fax:804-756-7007
Practice Address - Street 1:5402 GLENSIDE DR STE D
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-3994
Practice Address - Country:US
Practice Address - Phone:804-756-7010
Practice Address - Fax:804-756-7007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXCEL HIGHER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency