Organization
EMPOWERED2CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHA-RHONDA MICHEA DAVIS LCSW, SSW (OWNER)
(678) 602-9709
Entity
Organization
Contact information
Practice address
5604 WENDY BAGWELL PKWY, SUITE 812, HIRAM, GA 30141-7813
(678) 602-9709
(678) 928-9499
Mailing address
PO BOX 1365, HIRAM, GA 30141-1365
(678) 602-9709
(678) 928-9499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003415
GA
Other
Enumeration date
07/08/2010
Last updated
06/17/2011
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