Organization Name: | EJM LEARNING SOLUTIONS, INC. |
NPI Number: | 1538503354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE YOUNG GIVAN (OWNER, PRESIDENT, EX. DIRECTOR) |
Mailing Address: | 4851 Cahaba River Road Suite 129 Vestavia Hills |
State: | AL US |
Postal Code: | 35243 |
Phone Number: | 2059702070 |
Fax Number: | 2055366553 |
NPI Enumeration Date: | 04/23/2013 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |