Provider Demographics
NPI:1841810231
Name:PROSPERITY HANDS MINISTRY
Entity type:Organization
Organization Name:PROSPERITY HANDS MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:COUNSELOR
Authorized Official - Phone:470-439-9767
Mailing Address - Street 1:710 SW STERLING PL
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7773
Mailing Address - Country:US
Mailing Address - Phone:470-439-9767
Mailing Address - Fax:
Practice Address - Street 1:710 SW STERLING PL
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-7773
Practice Address - Country:US
Practice Address - Phone:470-439-9767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROSPERITY HANDS MINISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-26
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty