Life Changers Community Empowerment Enterprises, Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LIFE CHANGERS COMMUNITY EMPOWERMENT ENTERPRISES, INC

Practice address

7098 Sir Charles CT
Suite a
Riverdale, GA 30274-3236

Phone

(404) 399-6136

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Denise Henderson

Title

Ceo

Phone

(404) 399-6136

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1578728671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7098 SIR CHARLES CT",
            "address_2": "SUTE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743236",
            "telephone_number": "404-399-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7098 SIR CHARLES CT",
            "address_2": "SUITE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743236",
            "telephone_number": "404-399-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGERS COMMUNITY EMPOWERMENT ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-399-6136",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.