Provider Demographics
NPI:1487999249
Name:WORK OF MY HANDS
Entity type:Organization
Organization Name:WORK OF MY HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW-IPR
Authorized Official - Phone:409-504-0633
Mailing Address - Street 1:PO BOX 41812
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77725-1812
Mailing Address - Country:US
Mailing Address - Phone:409-504-0633
Mailing Address - Fax:409-840-9788
Practice Address - Street 1:4405 FORTUNE LN
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-4831
Practice Address - Country:US
Practice Address - Phone:409-504-0633
Practice Address - Fax:409-840-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22408104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty