Provider Demographics
NPI:1699583492
Name:A SURE WORD COMMUNITY OUTREACH
Entity type:Organization
Organization Name:A SURE WORD COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAORMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-734-4449
Mailing Address - Street 1:1503 KEMPER ST STE 305
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1971
Mailing Address - Country:US
Mailing Address - Phone:910-261-1149
Mailing Address - Fax:
Practice Address - Street 1:1503 KEMPER ST STE 305
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1971
Practice Address - Country:US
Practice Address - Phone:910-261-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-25
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty