Organization
XESUS THERAPY SERVICES
Active
Parent organization
XESUS HOUSE OF PRAYER, INC.
Other names
Xesus House of Prayer, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
XESUS HOUSE OF PRAYER, INC.
Authorized official
MRS. JERICA JALANE BARBER LMHC, RN (CEO, BOARD DIRECTOR)
(585) 343-1681
Entity
Organization
Contact information
Practice address
300 INTERNATIONAL DR, SUITE 117, WILLIAMSVILLE, NY 14221-5781
(585) 343-1681
(120) 836-1866
Mailing address
300 INTERNATIONAL DR, SUITE 117, WILLIAMSVILLE, NY 14221-5781
(585) 343-1681
(120) 836-1866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMHC 006357;RN537485
NY
251V00000X
Voluntary or Charitable Agency
LMHC 006357;RN537485
NY
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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