Provider Demographics
NPI:1407105240
Name:WOMEN EMBRACING RECOVERY INC
Entity Type:Organization
Organization Name:WOMEN EMBRACING RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LCAS-P
Authorized Official - Phone:919-295-5546
Mailing Address - Street 1:3921 LODGEPOLE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8844
Mailing Address - Country:US
Mailing Address - Phone:919-295-5546
Mailing Address - Fax:919-295-5546
Practice Address - Street 1:3921 LODGEPOLE LN
Practice Address - Street 2:3921 LODGE POLE LANE
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8844
Practice Address - Country:US
Practice Address - Phone:919-295-5546
Practice Address - Fax:919-295-5546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable