Provider Demographics
NPI:1285252338
Name:SENSE OF EQUITY PROGRAMDEVELOPMENT TRAINING&ACCREDITATION SERVICES LLC
Entity type:Organization
Organization Name:SENSE OF EQUITY PROGRAMDEVELOPMENT TRAINING&ACCREDITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MAC, E-CADC
Authorized Official - Phone:678-232-2765
Mailing Address - Street 1:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-0784
Mailing Address - Country:US
Mailing Address - Phone:678-232-2765
Mailing Address - Fax:
Practice Address - Street 1:1 W COURT SQ STE 750
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2545
Practice Address - Country:US
Practice Address - Phone:404-955-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty