Provider Demographics
NPI:1841506425
Name:COMMUNITY ECONOMIC AND EMPOWERMENT ALLIANCE
Entity type:Organization
Organization Name:COMMUNITY ECONOMIC AND EMPOWERMENT ALLIANCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-865-1988
Mailing Address - Street 1:1160 GALLATIN PIKE SOUTH
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4627
Mailing Address - Country:US
Mailing Address - Phone:615-865-1988
Mailing Address - Fax:615-865-1983
Practice Address - Street 1:1160 GALLATIN PIKE SOUTH
Practice Address - Street 2:SUITE 203
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4627
Practice Address - Country:US
Practice Address - Phone:615-865-1988
Practice Address - Fax:615-865-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No252Y00000XAgenciesEarly Intervention Provider Agency