Provider Demographics
NPI:1588002380
Name:BEFORE&AFTER SUPPORTIVE HOUSING SERVICES
Entity Type:Organization
Organization Name:BEFORE&AFTER SUPPORTIVE HOUSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ORITA
Authorized Official - Middle Name:WENDELLA
Authorized Official - Last Name:SEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-399-1843
Mailing Address - Street 1:6388 LAUREL POST CT
Mailing Address - Street 2:1115 LESLIE PLACE
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-8982
Mailing Address - Country:US
Mailing Address - Phone:404-207-5308
Mailing Address - Fax:
Practice Address - Street 1:1434 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1424
Practice Address - Country:US
Practice Address - Phone:404-399-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management