Provider Demographics
NPI:1639982473
Name:WOMEN OF PROVERBS 31 LLC
Entity type:Organization
Organization Name:WOMEN OF PROVERBS 31 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:CIERA
Authorized Official - Middle Name:MELODY
Authorized Official - Last Name:CELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-617-9204
Mailing Address - Street 1:3114 S FERN AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-2556
Mailing Address - Country:US
Mailing Address - Phone:620-617-9204
Mailing Address - Fax:
Practice Address - Street 1:3114 S FERN AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67217-2556
Practice Address - Country:US
Practice Address - Phone:620-617-9204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty