Organization
EMPOWERING HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE BESS (DIRECTOR OF OPERATIONS)
(404) 852-1333
Entity
Organization
Contact information
Practice address
5778 WEMBLEY DR, DOUGLASVILLE, GA 30135-1875
(404) 852-1333
(678) 840-3887
Mailing address
3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
(850) 688-6761
(678) 840-3887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/02/2022
Last updated
03/18/2023
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