Healthcare Provider Details
I. General information
NPI: 1588938161
Provider Name (Legal Business Name): THE POWER OF U, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/29/2012
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
142 W MAIN ST
WILLIAMSTON NC
27892-2472
US
IV. Provider business mailing address
PO BOX 1123
WINDSOR NC
27983-1123
US
V. Phone/Fax
- Phone: 919-270-0694
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHN
TAYLOR
Title or Position: CFO
Credential: D.MIN.
Phone: 919-270-0694