Provider Demographics
NPI:1801125729
Name:HOLISTICALLY EMPLOWEING THE LIVES OF PEOPLE, INC.
Entity type:Organization
Organization Name:HOLISTICALLY EMPLOWEING THE LIVES OF PEOPLE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:MAYNOR
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:910-736-3351
Mailing Address - Street 1:205 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3880
Mailing Address - Country:US
Mailing Address - Phone:910-736-3351
Mailing Address - Fax:
Practice Address - Street 1:171 COMTECH DRIVE
Practice Address - Street 2:BUILDING 57 A, SUITE B
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28358-7270
Practice Address - Country:US
Practice Address - Phone:910-736-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0537251B00000X, 251S00000X, 252Y00000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency