Organization
PHOENIX LIFE EMPOWERMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA ELLIOTT (PRESIDENT)
(864) 360-7197
Entity
Organization
Contact information
Practice address
177 MAC LN, ANGIER, NC 27501-7904
(864) 360-7197
Mailing address
177 MAC LN, ANGIER, NC 27501-7904
(864) 360-7197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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