Organization
LIFE EMPOWERMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONIELLE GRIFFITH LMSW (CO-FOUNDER)
(678) 304-8215
Entity
Organization
Contact information
Practice address
3595 CANTON RD, A9-320, MARIETTA, GA 30066-2658
(678) 304-8215
Mailing address
1755 THE EXCHANGE SE, STE 205, ATLANTA, GA 30339-7400
(678) 304-8215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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