Eye Listen Empowerment Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EYE LISTEN EMPOWERMENT CENTER, LLC

Practice address

3201 Atlanta Industrial Pkwy NW Ste 302
Atlanta, GA 30331

Phone

(404) 604-3700

Fax

(404) 393-3705

NPI assigned

Nov 10, 2014

Last updated

Jul 10, 2018By 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

Ebony Ormond-Ham

Title

Owner

Phone

(404) 952-0471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1326444993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ATLANTA INDUSTRIAL PKWY NW STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311048",
            "telephone_number": "404-604-3700",
            "fax_number": "404-393-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ATLANTA INDUSTRIAL PKWY NW STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-604-3700",
            "fax_number": "404-393-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Main St W Ste 18A",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300783071",
            "country_code": "US",
            "telephone_number": "470-282-3944",
            "fax_number": "404-393-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE LISTEN EMPOWERMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "ORMOND-HAM",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-952-0471"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Jul 10, 2018; 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.