Empowering Lives Creating Possibilities Inc
Organization Active NPI Community/Behavioral Health Agency · Edgewood, MD
NPI 1932436722 · NPPES record last updated Nov 16, 2009
Key facts
- NPI
- 1932436722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- EMPOWERING LIVES CREATING POSSIBILITIES INC
- Practice address
- 3172 Ebbtide Dr
Edgewood, MD 21040-2921 - Phone
- (443) 876-4091
- NPI assigned
- Nov 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tyeisha C Jones, M.ED.
- Title
- President, Ceo
- Phone
- (443) 876-4091
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MD | Yes |
Addresses
Primary practice location
3172 Ebbtide Dr
Edgewood, MD 21040-2921
Mailing address
3172 Ebbtide Dr
Edgewood, MD 21040-2921
Phone (443) 876-4091
Other providers in Edgewood, MD
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- Megan Ellis
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- Empowering Minds Resource Center
All providers in Edgewood, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.