Provider Demographics
NPI:1861809469
Name:STARPOINT EDUCATIONAL ENRICHMENT CENTER, LLC
Entity type:Organization
Organization Name:STARPOINT EDUCATIONAL ENRICHMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:M ED ADMIN
Authorized Official - Phone:409-779-6730
Mailing Address - Street 1:PO BOX 7709
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-7709
Mailing Address - Country:US
Mailing Address - Phone:409-779-6730
Mailing Address - Fax:409-554-4295
Practice Address - Street 1:6755 PHELAN BLVD
Practice Address - Street 2:SUITE 22
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6075
Practice Address - Country:US
Practice Address - Phone:409-779-6730
Practice Address - Fax:409-554-4295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health