Organization
I WAS HER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA JENKINS CNA. QMHP. MBA. MHA. (PRESIDENT)
(254) 405-4033
Entity
Organization
Contact information
Practice address
931 MONROE DR NE STE A102158, ATLANTA, GA 30308-1793
(404) 421-2079
Mailing address
931 MONROE DR NE STE A102, ATLANTA, GA 30308-2183
(404) 421-2079
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
BEHAVIORAL HEALTH TECHNICIAN
TX
01
—
171M00000X
QUALIFIED MENTAL HEALTH PROFESSIONAL
TX
Enumeration date
06/22/2022
Last updated
02/06/2024
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