Provider Demographics
NPI:1316270630
Name:PURPOSE OF HEARTS MINISTRIES
Entity type:Organization
Organization Name:PURPOSE OF HEARTS MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DORSEY-REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-331-3085
Mailing Address - Street 1:PO BOX 2932
Mailing Address - Street 2:154 EAST HILL DRIVE
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39130-2932
Mailing Address - Country:US
Mailing Address - Phone:601-331-3085
Mailing Address - Fax:
Practice Address - Street 1:154 E HILL DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-8962
Practice Address - Country:US
Practice Address - Phone:601-331-3085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC0533251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health