Provider Demographics
NPI:1275070781
Name:WOMEN IN GLORY EMPOWERMENT
Entity Type:Organization
Organization Name:WOMEN IN GLORY EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEDBETTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPSS, QMHP
Authorized Official - Phone:704-762-6182
Mailing Address - Street 1:PO BOX 3161
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-3161
Mailing Address - Country:US
Mailing Address - Phone:704-762-6182
Mailing Address - Fax:
Practice Address - Street 1:1701 WALKER ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2548
Practice Address - Country:US
Practice Address - Phone:704-762-6182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty