Provider Demographics
NPI:1487054649
Name:GLORY TEMPLE MINISTRIES, INC.
Entity type:Organization
Organization Name:GLORY TEMPLE MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PASTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONAE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAMBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW INTERN
Authorized Official - Phone:305-456-5217
Mailing Address - Street 1:7950 NW 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4964
Mailing Address - Country:US
Mailing Address - Phone:305-456-5217
Mailing Address - Fax:305-351-9002
Practice Address - Street 1:7950 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4964
Practice Address - Country:US
Practice Address - Phone:305-456-5217
Practice Address - Fax:305-351-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty