Healthcare Provider Details

I. General information

NPI: 1518169184
Provider Name (Legal Business Name): EMPOWERING FAMILIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10218 GLENBURN LANE
CHARLOTTE NC
28278-6002
US

IV. Provider business mailing address

10218 GLENBURN LANE
CHARLOTTE NC
28278-6002
US

V. Phone/Fax

Practice location:
  • Phone: 704-778-7359
  • Fax:
Mailing address:
  • Phone: 704-778-7359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DR. PRISCILLA S. RIDDLEY
Title or Position: FOUNDER/CEO
Credential:
Phone: 704-778-7359