Provider Demographics
NPI:1861882912
Name:GIRLS EMPOWERMENT MOVEMENT
Entity type:Organization
Organization Name:GIRLS EMPOWERMENT MOVEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:HOWZE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:B A
Authorized Official - Phone:985-210-3015
Mailing Address - Street 1:139 TAMMY DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAPLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6474
Mailing Address - Country:US
Mailing Address - Phone:985-210-3015
Mailing Address - Fax:
Practice Address - Street 1:139 TAMMY DRIVE
Practice Address - Street 2:
Practice Address - City:LAPLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6474
Practice Address - Country:US
Practice Address - Phone:985-210-3015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health