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Organization

FAMILY INTERVENTION & COMMUNITY ADVOCAY, LLC

Active
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Organization

FAMILY INTERVENTION & COMMUNITY ADVOCAY, LLC

Active
Other names
F.I.C.A, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHEMEIKA LEWIS BA,QMHP, QDDMHP (OWNER)
(704) 719-6615
Entity
Organization

Contact information

Practice address
260 PEACHTREE ST NW, SUITE 2200, ATLANTA, GA 30303-1202
(704) 719-6615
(252) 793-3117
Mailing address
301 MCCULLOUGH DR, 4TH FLOOR, CHARLOTTE, NC 28262-3310
(704) 719-6615
(252) 793-3117

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
12/07/2009
Last updated
12/07/2009
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