Max Empowerment, LLC
Community/Behavioral Health in Jonesboro, GA. Organization (NPI-2).
NPI number1396282943
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1396282943
- Entity type
- Organization (NPI-2)
- Legal business name
- Max Empowerment, LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2017
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LPC004618 | GA | Yes |
Practice location
217 Arrowhead BlvdSuite A-4
Jonesboro, GA 30236-1169
Phone 678-545-0498
Mailing address
Po Box 296Rex, GA 30273-0296
Phone 678-545-0498
Authorized official
Kisha P Thomas
Owner/Therapist
6785450498
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