Provider Demographics
NPI:1821763749
Name:VETERANS EMPOWERING VETERANS
Entity Type:Organization
Organization Name:VETERANS EMPOWERING VETERANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSWA
Authorized Official - Phone:910-223-3213
Mailing Address - Street 1:325 B ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5129
Mailing Address - Country:US
Mailing Address - Phone:910-223-3213
Mailing Address - Fax:910-223-3213
Practice Address - Street 1:325 B ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5129
Practice Address - Country:US
Practice Address - Phone:910-223-3213
Practice Address - Fax:910-223-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)