NPIMap

Organization Active NPI

Teens Empowerment Awareness With Resolutions, Inc

  • Community/Behavioral Health Agency
  • Phenix City, AL
National Provider Identifier
1801045117
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC
Practice address
1011 S Railroad St
Phenix City, AL 36867-6220
Phone
(334) 291-6363
Fax
(334) 291-6399
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mrs. Angelia Cofaye Walton
Title
Executive Director
Phone
(334) 291-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1011 S Railroad St
Phenix City, AL 36867-6220

Mailing address

1011 S Railroad St
Phenix City, AL 36867-6220
Phone (334) 291-6363

Other names 1

  • TEARS, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridges Girls Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1011 S Railroad St
Phenix City, AL 36867
Phone (334) 291-6363

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1801045117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S RAILROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676220",
            "telephone_number": "334-291-6363",
            "fax_number": "334-291-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S RAILROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676220",
            "telephone_number": "334-291-6363",
            "fax_number": "334-291-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENS EMPOWERMENT AWARENESS WITH RESOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "COFAYE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-291-6363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEARS, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.