Provider Demographics
NPI:1427673060
Name:FAMILY ESSENCE LLC
Entity type:Organization
Organization Name:FAMILY ESSENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AURIELLE
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PHD
Authorized Official - Phone:913-579-4835
Mailing Address - Street 1:5853 KEYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-5693
Mailing Address - Country:US
Mailing Address - Phone:913-579-4835
Mailing Address - Fax:
Practice Address - Street 1:5853 KEYSTONE LN
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5693
Practice Address - Country:US
Practice Address - Phone:913-579-4835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty