Provider Demographics
NPI:1619724762
Name:MWP-RESOURCES
Entity type:Organization
Organization Name:MWP-RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-490-5198
Mailing Address - Street 1:3663 W CACTUS AVE UNIT 1073
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8880
Mailing Address - Country:US
Mailing Address - Phone:406-490-5198
Mailing Address - Fax:406-449-7600
Practice Address - Street 1:3663 W CACTUS AVE UNIT 1073
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-8880
Practice Address - Country:US
Practice Address - Phone:406-490-5198
Practice Address - Fax:406-449-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty