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EPHESIANS LIFE MINISTRIES
NPI 1003967563
Counselor - Mental Health in Vienna, VA

Active since January 12, 2007
260 CEDAR LN SE # B, VIENNA, VA 22180(703) 204-0250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Ephesians Life Ministries NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPHESIANS LIFE MINISTRIES (NPI 1003967563) is a healthcare organization registered as a mental health in Vienna, Virginia and active in the NPI registry since January 2007. The organization lists Sunny S Park, Therapist, as its authorized official.

NPPES Registry Identity

NPI1003967563
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEPHESIANS LIFE MINISTRIES
Location Address260 CEDAR LN SE # BVienna, VA 22180-6698
Mailing Address1620 Elton Rd Ste 204Silver Spring, MD 20903-1760 · (301) 439-7191
Phone(703) 204-0250
Organization SubpartNo
Authorized OfficialSunny S ParkTherapist · (240) 472-3216
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1003967563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VA · 0904005471✔ Licensed in MD · 11220
260 CEDAR LN SE # B, Vienna, VA 22180
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Other Identifiers 5

Other258321MD · Kaiser
Other351252MD · Mhn
Other7839381MD · Aetna
Other2133171MD · Mamsi
Other633647MD · Ncppo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ephesians Life Ministries's NPI number?

The NPI number for Ephesians Life Ministries is 1003967563. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Ephesians Life Ministries located?

Ephesians Life Ministries is located at 260 Cedar Ln SE # B, Vienna, VA 22180. The listed phone number is (703) 204-0250.

What is Ephesians Life Ministries's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ephesians Life Ministries was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.