Provider Demographics
NPI:1679043285
Name:I MATTER COUNSELING & EMPOWERMENT SERVICES, INC.
Entity Type:Organization
Organization Name:I MATTER COUNSELING & EMPOWERMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GENICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS-RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-246-3377
Mailing Address - Street 1:PO BOX 29179
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-0179
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 LAURENT DR APT 711
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-4556
Practice Address - Country:US
Practice Address - Phone:216-562-7214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)