Provider Demographics
NPI:1831074566
Name:TEMPLE OF HUMAN SPIRITUALITY
Entity type:Organization
Organization Name:TEMPLE OF HUMAN SPIRITUALITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE/MINISTER
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DD
Authorized Official - Phone:757-994-2253
Mailing Address - Street 1:3535 TIDEWATER DR STE B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1333
Mailing Address - Country:US
Mailing Address - Phone:757-994-2253
Mailing Address - Fax:
Practice Address - Street 1:528 W 35TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-3102
Practice Address - Country:US
Practice Address - Phone:757-298-7428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No251V00000XAgenciesVoluntary or Charitable