MEDIATION OF THE SELF
NPI 1629615000
Religious Nonmedical Practitioner in Fargo, ND
- Organization
- Religious Nonmedical Practitioner
About MEDIATION OF THE SELF
This page provides the complete NPI Profile along with additional information for Mediation Of The Self, a provider established in Fargo, North Dakota operating as a Religious Nonmedical Practitioner. The healthcare provider is registered in the NPI registry with number 1629615000 assigned on December 2019. The practitioner's primary taxonomy code is 374K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mediation Of The Self operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mediation Of The Self. The authorized official of this NPI record is Tyrone Crew (Owner)
- NPI
- 1629615000 Verify this NPI
- Provider Legal Name
- TYRONE L CREW
- Other Organization Name
- MEDIATION OF THE SELF
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4330 10TH AVE S APT 305 FARGO, ND 58103
- Location Phone
- (701) 730-9365
- Mailing Address
- 4330 10TH AVE S APT 305 FARGO, ND 58103
- Mailing Phone
- (701) 730-9365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2019
- Last Update Date
- 02-04-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Religious Nonmedical Practitioner
- Taxonomy Code
- 374K00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629615000, enumerated as an "organization" on December 05, 2019.
The provider is located at 4330 10TH AVE S APT 305 FARGO, ND 58103 and the phone number is (701) 730-9365.
Religious Nonmedical Practitioner with taxonomy code 374K00000X.
