Healthcare Provider Details

I. General information

NPI: 1295671063
Provider Name (Legal Business Name): SSVE STANDING STRONG VETERANS EMPOWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 MOODY RD STE 119
WARNER ROBINS GA
31088-6110
US

IV. Provider business mailing address

117 ERIN WAY
WARNER ROBINS GA
31088-4187
US

V. Phone/Fax

Practice location:
  • Phone: 478-397-2586
  • Fax:
Mailing address:
  • Phone: 478-318-7145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: VANESSA CARTER
Title or Position: EXECUTIVE DIRECTOR / OWNER
Credential:
Phone: 478-318-7145