Organization
BUILDING EMPOWERMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY GRAHAM MA, LCMHC, LCASA (OWNER)
(919) 478-0248
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL STE 144, CHARLOTTE, NC 28262-4504
(919) 478-0248
(704) 559-3447
Mailing address
1914 J N PEASE PL STE 144, CHARLOTTE, NC 28262-4504
(919) 478-0248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
10/28/2020
Last updated
07/31/2021
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