S.E.L.F Strengthening and Empowering the Lives of Our Future,Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

S.E.L.F STRENGTHENING AND EMPOWERING THE LIVES OF OUR FUTURE,INC.

Practice address

5401 Evergreen Forest Way
102
Raleigh, NC 27616-7920

Phone

(919) 325-3700

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Katherine N Hodge, B.A.

Title

Ceo-Executive Director

Phone

(619) 507-3977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346360880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 EVERGREEN FOREST WAY",
            "address_2": "102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 EVERGREEN FOREST WAY",
            "address_2": "102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167920",
            "telephone_number": "919-325-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E.L.F STRENGTHENING AND EMPOWERING THE LIVES OF OUR FUTURE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-507-3977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "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.