Provider Demographics
NPI:1053716878
Name:FUND-A-MENTAL IN EDUCATION TRAINING & CONSULTING
Entity type:Organization
Organization Name:FUND-A-MENTAL IN EDUCATION TRAINING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:704-567-8953
Mailing Address - Street 1:6612 E W T HARRIS BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5134
Mailing Address - Country:US
Mailing Address - Phone:704-567-8984
Mailing Address - Fax:704-567-8953
Practice Address - Street 1:6612 E W T HARRIS BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5134
Practice Address - Country:US
Practice Address - Phone:704-567-8984
Practice Address - Fax:704-567-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health