Provider Demographics
NPI:1932574852
Name:NOBLE PROMISE CHRISTIAN COUNSELING CENTER
Entity Type:Organization
Organization Name:NOBLE PROMISE CHRISTIAN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BAKARI
Authorized Official - Middle Name:K
Authorized Official - Last Name:BECKWITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:318-680-3595
Mailing Address - Street 1:910 HIGHWAY 3061
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-9100
Mailing Address - Country:US
Mailing Address - Phone:318-680-3595
Mailing Address - Fax:
Practice Address - Street 1:910 HIGHWAY 3061
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-9100
Practice Address - Country:US
Practice Address - Phone:318-680-3595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency