Provider Demographics
NPI:1528363181
Name:NEW HEIGHTS CHURCH
Entity type:Organization
Organization Name:NEW HEIGHTS CHURCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, LMFT
Authorized Official - Phone:479-871-9285
Mailing Address - Street 1:PO BOX 8668
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0011
Mailing Address - Country:US
Mailing Address - Phone:479-527-6424
Mailing Address - Fax:479-527-6461
Practice Address - Street 1:903 N 47TH ST
Practice Address - Street 2:STE. 103
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-9622
Practice Address - Country:US
Practice Address - Phone:479-871-7234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health