Provider Demographics
NPI:1972769982
Name:THE GIRLS EMPOWERMENT CENTER
Entity type:Organization
Organization Name:THE GIRLS EMPOWERMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS MFT
Authorized Official - Phone:805-230-3807
Mailing Address - Street 1:2500 TOWNSGATE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2630
Mailing Address - Country:US
Mailing Address - Phone:805-341-5735
Mailing Address - Fax:805-230-8291
Practice Address - Street 1:2500 TOWNSGATE RD
Practice Address - Street 2:SUITE H
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2630
Practice Address - Country:US
Practice Address - Phone:805-341-5735
Practice Address - Fax:805-230-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0800117091251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health