Provider Demographics
NPI:1780095950
Name:A NEW LEVEL EMPOWERMENT AND CONSULTATION
Entity type:Organization
Organization Name:A NEW LEVEL EMPOWERMENT AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-809-3709
Mailing Address - Street 1:289 JONESBORO RD
Mailing Address - Street 2:STE 203
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3725
Mailing Address - Country:US
Mailing Address - Phone:770-809-3709
Mailing Address - Fax:404-481-2714
Practice Address - Street 1:1700 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-9115
Practice Address - Country:US
Practice Address - Phone:770-809-3709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007896251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health