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Organization

ALD SUCCESS NETWORK, INC. DBA: EMPOWERED HARMONY COUNSELING, PSYCHIATRY & WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASHICA MAXWELL LCSW, LICSW (CCWO)
(616) 920-0483
Entity
Organization

Contact information

Practice address
2739 LOST LAKES DR, POWDER SPRINGS, GA 30127-6012
(877) 427-6879
(877) 497-6576
Mailing address
1914 THOMES AVE.,, SUITE 2 #5710, CHEYENNE, WY 82001-3527
(877) 427-6879
(877) 497-6576

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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