Provider Demographics
NPI:1255887261
Name:THE POWER OF U
Entity type:Organization
Organization Name:THE POWER OF U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD FIRST CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHAMBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-714-6411
Mailing Address - Street 1:2317 EXECUTIVE CIR
Mailing Address - Street 2:B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3762
Mailing Address - Country:US
Mailing Address - Phone:252-551-5544
Mailing Address - Fax:
Practice Address - Street 1:2317 EXECUTIVE CIR
Practice Address - Street 2:B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3762
Practice Address - Country:US
Practice Address - Phone:252-551-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12471251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health