Organization · Type 2 NPI

Xesus Therapy Services

Community/Behavioral Health Agency · Williamsville, NY

NPI number 1619348208 Active

Practice location

300 International Dr, Suite 117
Williamsville, NY 14221-5781

Fax (120) 836-1866

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	LMHC 006357;RN537485 (NY)
Voluntary or Charitable Agency	251V00000X	LMHC 006357;RN537485 (NY)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

12 other providers at this address

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NPI record

NPI: 1619348208
Entity type: Organization (Type 2)
Issued: Oct 8, 2015
Last updated: Oct 8, 2015
Status: Active
Subpart: Yes of Xesus House of Prayer, Inc.

Other names

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Xesus House of Prayer, Inc. · other name

Authorized official

Mrs. Jerica Jalane Barber, LMHC, RN
CEO, Board Director
(585) 343-1681

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619348208

Xesus Therapy Services's National Provider Identifier is 1619348208, issued on Oct 8, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Williamsville, NY. The record was last updated on Oct 8, 2015.