Provider Demographics
NPI:1801768429
Name:I AM WE FOUNDATION
Entity type:Organization
Organization Name:I AM WE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-403-7519
Mailing Address - Street 1:10520 PACES AVE APT 1426
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-3052
Mailing Address - Country:US
Mailing Address - Phone:516-403-7519
Mailing Address - Fax:516-403-7519
Practice Address - Street 1:10520 PACES AVE APT 1426
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-3052
Practice Address - Country:US
Practice Address - Phone:516-403-7519
Practice Address - Fax:516-403-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health