Organization
KA' EXCLUSIVE INITIATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERIA EDWARDS (FOUNDER/CEO)
(205) 383-9594
Entity
Organization
Contact information
Practice address
930 NORTH ST, LIVINGSTON, AL 35470-5312
(205) 383-9594
Mailing address
930 NORTH ST, LIVINGSTON, AL 35470-5312
(205) 383-9594
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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