Provider Demographics
NPI:1275852204
Name:T & L EMPOWERMENT, LLC
Entity Type:Organization
Organization Name:T & L EMPOWERMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/VP/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-521-7461
Mailing Address - Street 1:305 E 3RD ST STE 5
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-7991
Mailing Address - Country:US
Mailing Address - Phone:910-521-7461
Mailing Address - Fax:910-521-7463
Practice Address - Street 1:755 S MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3238
Practice Address - Country:US
Practice Address - Phone:910-875-1407
Practice Address - Fax:910-875-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302435Medicaid