Organization
LIFE CHANGERS COMMUNITY EMPOWERMENT ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE DENISE HENDERSON (CEO)
(404) 399-6136
Entity
Organization
Contact information
Practice address
7098 SIR CHARLES CT, SUITE A, RIVERDALE, GA 30274-3236
(404) 399-6136
Mailing address
7098 SIR CHARLES CT, SUTE A, RIVERDALE, GA 30274-3236
(404) 399-6136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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