Academy for Family Empowerment Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACADEMY FOR FAMILY EMPOWERMENT SERVICES, INC.

Practice address

1015 Milstead Ave NE
#210
Conyers, GA 30012-4515

Phone

(770) 918-8003

Fax

(770) 918-8800

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Adenise Gleadie Simmons, LCSW

Title

Ceo

Phone

(770) 918-8003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013056134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MILSTEAD AVE NE",
            "address_2": "#210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124515",
            "telephone_number": "770-918-8003",
            "fax_number": "770-918-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MILSTEAD AVE NE",
            "address_2": "#210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124515",
            "telephone_number": "770-918-8003",
            "fax_number": "770-918-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY FOR FAMILY EMPOWERMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ADENISE",
        "authorized_official_middle_name": "GLEADIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-918-8003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.