Provider Demographics
| NPI: | 1336028711 |
|---|---|
| Name: | FIVE TALENTS AND FIVE SENSES L.L.C. |
| Entity type: | Organization |
| Organization Name: | FIVE TALENTS AND FIVE SENSES L.L.C. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO AND PASTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | QUEEN MISS ROYAL PASTOR TAMARA |
| Authorized Official - Middle Name: | YVONNE |
| Authorized Official - Last Name: | COMER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 706-304-1218 |
| Mailing Address - Street 1: | 4971 AARON DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | GA |
| Mailing Address - Zip Code: | 31907-7422 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 706-304-1218 |
| Mailing Address - Fax: | 706-304-1218 |
| Practice Address - Street 1: | 4971 AARON DR |
| Practice Address - Street 2: | |
| Practice Address - City: | COLUMBUS |
| Practice Address - State: | GA |
| Practice Address - Zip Code: | 31907-7422 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 706-304-1218 |
| Practice Address - Fax: | 706-304-1218 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-08-29 |
| Last Update Date: | 2025-09-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral | Group - Single Specialty |
| No | 101200000X | Behavioral Health & Social Service Providers | Drama Therapist | ||
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | ||
| No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management | |
| No | 174200000X | Other Service Providers | Meals | ||
| No | 177F00000X | Other Service Providers | Lodging | ||
| No | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | ||
| No | 225600000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Dance Therapist | ||
| No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | ||
| No | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | ||
| No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | ||
| No | 253J00000X | Agencies | Foster Care Agency | ||
| No | 302R00000X | Managed Care Organizations | Health Maintenance Organization | ||
| No | 305R00000X | Managed Care Organizations | Preferred Provider Organization | ||
| No | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner |
