Provider Demographics
NPI:1982800561
Name:LIVING EXPLORING ALL POSSIBILITIES OF ST. LAWRENCE COUNTY INC.
Entity type:Organization
Organization Name:LIVING EXPLORING ALL POSSIBILITIES OF ST. LAWRENCE COUNTY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-265-4723
Mailing Address - Street 1:230 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13668-3212
Mailing Address - Country:US
Mailing Address - Phone:315-265-4723
Mailing Address - Fax:315-742-1391
Practice Address - Street 1:230 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NY
Practice Address - Zip Code:13668-3212
Practice Address - Country:US
Practice Address - Phone:315-265-4723
Practice Address - Fax:315-742-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable