A New Level Empowerment And Consultation
Community/Behavioral Health in Mcdonough, GA. Organization (NPI-2).
NPI number1780095950
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1780095950
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Level Empowerment And Consultation
- Organization subpart
- No
- Enumeration date
- May 9, 2014
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LPC007896 | GA | Yes |
Practice location
1700 Pennsylvania AveSuite 207
Mcdonough, GA 30253-9115
Phone 770-809-3709
Mailing address
289 Jonesboro RdSte 203
Mcdonough, GA 30253-3725
Phone 770-809-3709 · Fax 404-481-2714
Authorized official
Tanisha Sapp
Ceo/Owner
7708093709
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