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Organization
MENTAL HEALTH EMPOWERMENT ZONE
Active
Organization
MENTAL HEALTH EMPOWERMENT ZONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE TATE (OWNER)
(910) 899-8167
Entity
Organization
Contact information
Practice address
1123 CHURCH ST SE STE 203C, COVINGTON, GA 30014-2876
(910) 899-8167
Mailing address
120 FIELDVIEW LN, COVINGTON, GA 30016-1280
(910) 899-8167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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