Provider Demographics
NPI:1285978312
Name:LIONSGATE MINISTRIES
Entity type:Organization
Organization Name:LIONSGATE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:HUTCHESON
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:423-596-8915
Mailing Address - Street 1:406 SIGNAL VIEW ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6237
Mailing Address - Country:US
Mailing Address - Phone:423-596-8915
Mailing Address - Fax:
Practice Address - Street 1:6237 VANCE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2954
Practice Address - Country:US
Practice Address - Phone:423-596-8915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty