Provider Demographics
NPI:1053621102
Name:THE WAY OF GOD MINISTRIES
Entity type:Organization
Organization Name:THE WAY OF GOD MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MS
Authorized Official - Phone:813-389-3930
Mailing Address - Street 1:8910 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1591
Mailing Address - Country:US
Mailing Address - Phone:813-389-3930
Mailing Address - Fax:813-931-4609
Practice Address - Street 1:8910 N DALE MABRY HWY
Practice Address - Street 2:SUITE 12
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1591
Practice Address - Country:US
Practice Address - Phone:813-389-3930
Practice Address - Fax:813-931-4609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
FLMH 9342251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management