Provider Demographics
NPI:1811538796
Name:STRENGTHENING FAMILIES WITHIN COMMUNITIES LLC
Entity Type:Organization
Organization Name:STRENGTHENING FAMILIES WITHIN COMMUNITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-724-2077
Mailing Address - Street 1:5009 BEATTIES FORD RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2860
Mailing Address - Country:US
Mailing Address - Phone:704-724-2077
Mailing Address - Fax:
Practice Address - Street 1:4135 BRYAN FURR DRIVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216
Practice Address - Country:US
Practice Address - Phone:704-724-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health