Provider Demographics
NPI:1659002475
Name:I WAS HER FOUNDATION
Entity Type:Organization
Organization Name:I WAS HER FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA QMHP MBA MHA
Authorized Official - Phone:254-405-4033
Mailing Address - Street 1:931 MONROE DR NE STE A102
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2183
Mailing Address - Country:US
Mailing Address - Phone:404-421-2079
Mailing Address - Fax:
Practice Address - Street 1:931 MONROE DR NE STE A102158
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1793
Practice Address - Country:US
Practice Address - Phone:404-421-2079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106S00000XOtherBEHAVIORAL HEALTH TECHNICIAN
TX171M00000XOtherQUALIFIED MENTAL HEALTH PROFESSIONAL