Provider Demographics
NPI:1992065668
Name:FAMILIES ADVOCACY FOR VOICES OF RESILIENCE
Entity type:Organization
Organization Name:FAMILIES ADVOCACY FOR VOICES OF RESILIENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-587-8286
Mailing Address - Street 1:798 RAYS RD
Mailing Address - Street 2:SUITE 9496
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3144
Mailing Address - Country:US
Mailing Address - Phone:404-499-0078
Mailing Address - Fax:
Practice Address - Street 1:798 RAYS RD
Practice Address - Street 2:SUITE 9496
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3144
Practice Address - Country:US
Practice Address - Phone:404-499-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management