Healthcare Provider Details

I. General information

NPI: 1477313104
Provider Name (Legal Business Name): ADULTS WORKING AND ADVOCATING FOR KIDS' EMPOWERMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COLONIAL SQ
SYLVA NC
28779-5147
US

IV. Provider business mailing address

PO BOX 755
SYLVA NC
28779-0755
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-3574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-586-3574