Provider Demographics
NPI:1720760556
Name:FOSTERING RESILIENCE EMPOWERMENT SUCCESS & HOPE
Entity Type:Organization
Organization Name:FOSTERING RESILIENCE EMPOWERMENT SUCCESS & HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:718-650-9140
Mailing Address - Street 1:674 WILLIS ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8036
Mailing Address - Country:US
Mailing Address - Phone:347-731-2583
Mailing Address - Fax:516-385-3586
Practice Address - Street 1:674 WILLIS ST
Practice Address - Street 2:
Practice Address - City:SOUTH HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8036
Practice Address - Country:US
Practice Address - Phone:347-731-2583
Practice Address - Fax:516-385-3586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty