Provider Demographics
NPI:1912330176
Name:BEAUTIFUL BUTTERFLIES MENTORING PROGRAM, INC.
Entity Type:Organization
Organization Name:BEAUTIFUL BUTTERFLIES MENTORING PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDORA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-443-3088
Mailing Address - Street 1:2448 VINEYARD CIR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6844
Mailing Address - Country:US
Mailing Address - Phone:850-443-3088
Mailing Address - Fax:
Practice Address - Street 1:2448 VINEYARD CIR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6844
Practice Address - Country:US
Practice Address - Phone:850-443-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management