Provider Demographics
NPI:1679119630
Name:ECP CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:ECP CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:CHANTEL
Authorized Official - Last Name:POWE
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, MPA, CAMS II
Authorized Official - Phone:470-799-7940
Mailing Address - Street 1:2302 PARKLAKE DR NE STE 572
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2896
Mailing Address - Country:US
Mailing Address - Phone:470-799-7940
Mailing Address - Fax:770-825-9204
Practice Address - Street 1:2302 PARKLAKE DR NE STE 572
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2896
Practice Address - Country:US
Practice Address - Phone:470-799-7940
Practice Address - Fax:770-825-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health