Provider Demographics
NPI:1053978429
Name:1ST LADY EMPOWERMENT FOUNDATION, INC.
Entity type:Organization
Organization Name:1ST LADY EMPOWERMENT FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLECIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SWN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:713-857-0385
Mailing Address - Street 1:107 BURWELL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-8698
Mailing Address - Country:US
Mailing Address - Phone:713-857-0385
Mailing Address - Fax:
Practice Address - Street 1:107 BURWELL HILLS DR
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-8698
Practice Address - Country:US
Practice Address - Phone:713-857-0385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health