Provider Demographics
NPI:1811249451
Name:MAN UP MINISTRIES LLC
Entity type:Organization
Organization Name:MAN UP MINISTRIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:702-772-7161
Mailing Address - Street 1:6704 YELLOWHAMMER PL
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2693
Mailing Address - Country:US
Mailing Address - Phone:702-410-5165
Mailing Address - Fax:702-410-5165
Practice Address - Street 1:6704 YELLOWHAMMER PL
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2693
Practice Address - Country:US
Practice Address - Phone:702-410-5165
Practice Address - Fax:702-410-5165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty