Provider Demographics
NPI:1992003693
Name:FAMILY AND COMMUNITY EMPOWERMENT SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:FAMILY AND COMMUNITY EMPOWERMENT SOLUTIONS, LLC.
Other - Org Name:F.A.C.E.S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMION
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:BS QP
Authorized Official - Phone:704-349-1778
Mailing Address - Street 1:9635 SOUTHERN PINE BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5558
Mailing Address - Country:US
Mailing Address - Phone:704-349-1778
Mailing Address - Fax:
Practice Address - Street 1:9635 SOUTHERN PINE BLVD STE 130
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5558
Practice Address - Country:US
Practice Address - Phone:704-349-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty