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HOUSE OF PRAYER CHRISTIAN ACADEMY
NPI 1700155595
Counselor in East Saint Louis, IL

Active since December 22, 2011
5501 N PARK DR, EAST SAINT LOUIS, IL 62204(618) 274-3850 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About House Of Prayer Christian Academy NPPES

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

HOUSE OF PRAYER CHRISTIAN ACADEMY (NPI 1700155595) is a healthcare organization registered as a counselor in East Saint Louis, Illinois and active in the NPI registry since December 2011. The organization lists Anthony Dewayne Pettiford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700155595
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameHOUSE OF PRAYER CHRISTIAN ACADEMY
Location Address5501 N PARK DREast Saint Louis, IL 62204-2121
Mailing Address5501 N Park DrEast Saint Louis, IL 62204-2121 · (618) 274-3850
Phone(618) 274-3850
Organization SubpartNo
Authorized OfficialAnthony Dewayne PettifordCeo · (618) 274-3850
Enumeration DateDecember 22, 2011
✔ NPI 1700155595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
5501 N PARK DR, East Saint Louis, IL 62204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TINA YVONNE PETTIFORD LPC
Counselor (Professional)
5501 N PARK DR
EAST SAINT LOUIS, IL 62204
St. Clair County (618) 244-5119

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 House Of Prayer Christian Academy's NPI number?

The NPI number for House Of Prayer Christian Academy is 1700155595. It was assigned to this organization in the NPPES registry on December 22, 2011.

Where is House Of Prayer Christian Academy located?

House Of Prayer Christian Academy is located at 5501 N Park Dr, East Saint Louis, IL 62204. The listed phone number is (618) 274-3850.

What is House Of Prayer Christian Academy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for House Of Prayer Christian Academy was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.