Provider Demographics
NPI:1740650084
Name:THE FOUNDATION FOR THERAPEUTIC AND SPIRITUAL EMPOWERMENT SVCS INC
Entity type:Organization
Organization Name:THE FOUNDATION FOR THERAPEUTIC AND SPIRITUAL EMPOWERMENT SVCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-246-2815
Mailing Address - Street 1:1246 CONCORD RD SE # C
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4394
Mailing Address - Country:US
Mailing Address - Phone:404-246-2815
Mailing Address - Fax:404-973-0790
Practice Address - Street 1:1246 CONCORD RD SE # C
Practice Address - Street 2:SUITE 203
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4394
Practice Address - Country:US
Practice Address - Phone:404-246-2815
Practice Address - Fax:404-973-0790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable