Provider Demographics
NPI:1750708020
Name:E & A CARES, LLC
Entity type:Organization
Organization Name:E & A CARES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:EYVONNE
Authorized Official - Last Name:POOLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:478-304-5060
Mailing Address - Street 1:513 ACADEMY AVENUE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021
Mailing Address - Country:US
Mailing Address - Phone:478-304-5060
Mailing Address - Fax:478-272-3631
Practice Address - Street 1:513 ACADEMY AVENUE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021
Practice Address - Country:US
Practice Address - Phone:478-304-5060
Practice Address - Fax:478-272-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
GA1400005905251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health