Organization
FAMILY EMPOWERMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA H JOHNSON LPC (CEO)
(678) 610-4400
Entity
Organization
Contact information
Practice address
7130 MOUNT ZION BLVD STE 7, JONESBORO, GA 30236-2566
(678) 610-4400
(678) 610-0404
Mailing address
7130 MOUNT ZION BLVD STE 7, JONESBORO, GA 30236-2566
(678) 610-4400
(678) 610-0404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
004077
GA
101YM0800X
Mental Health Counselor
Primary
004077
GA
101YP2500X
Professional Counselor
004077
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624237293A
—
GA
Enumeration date
10/18/2007
Last updated
12/13/2011
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