Provider Demographics
NPI:1578885554
Name:EMPOWERING SOLUTIONS OF GEORGIA
Entity Type:Organization
Organization Name:EMPOWERING SOLUTIONS OF GEORGIA
Other - Org Name:EMPOWERING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-852-7455
Mailing Address - Street 1:1990 SURREY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6034
Mailing Address - Country:US
Mailing Address - Phone:678-852-7455
Mailing Address - Fax:678-829-0526
Practice Address - Street 1:2420 EASTGATE PL
Practice Address - Street 2:G-400
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6199
Practice Address - Country:US
Practice Address - Phone:678-852-7455
Practice Address - Fax:678-829-0526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health