Provider Demographics
NPI:1558021683
Name:THE CATALYST PROJECT, LLC.
Entity type:Organization
Organization Name:THE CATALYST PROJECT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN,QP,CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, QP
Authorized Official - Phone:252-975-3741
Mailing Address - Street 1:217 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4529
Mailing Address - Country:US
Mailing Address - Phone:252-975-3741
Mailing Address - Fax:252-975-3044
Practice Address - Street 1:217 E 9TH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4529
Practice Address - Country:US
Practice Address - Phone:252-975-3741
Practice Address - Fax:252-975-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)