Provider Demographics
NPI:1538889365
Name:HELPING OUR RIDERS SUCCEED IN EDUCATION
Entity type:Organization
Organization Name:HELPING OUR RIDERS SUCCEED IN EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT-A
Authorized Official - Phone:432-254-8129
Mailing Address - Street 1:2300 E COUNTY ROAD 140
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-7108
Mailing Address - Country:US
Mailing Address - Phone:432-634-8726
Mailing Address - Fax:
Practice Address - Street 1:2300 E COUNTY ROAD 140
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-7108
Practice Address - Country:US
Practice Address - Phone:432-634-8726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health