Provider Demographics
NPI:1306564570
Name:UNION CHAPEL MINISTRIES
Entity type:Organization
Organization Name:UNION CHAPEL MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:765-288-8862
Mailing Address - Street 1:4622 N BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-1083
Mailing Address - Country:US
Mailing Address - Phone:765-288-8862
Mailing Address - Fax:765-288-8416
Practice Address - Street 1:4622 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-1083
Practice Address - Country:US
Practice Address - Phone:765-288-8862
Practice Address - Fax:765-288-8416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION CHAPEL MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1467783401OtherUNION CHAPEL COUNSELING CENTER