| The Empowered Self Inc | |
|
323 N Thor St Ste C Turlock CA 95380-4063 | |
| (209) 213-1928 | |
| (833) 704-1889 |
| Full Name | The Empowered Self Inc |
|---|---|
| Speciality | Social Worker |
| Location | 323 N Thor St Ste C, Turlock, California |
| Authorized Official Name and Position | Diana C Harrison (SECRETARY) |
| Authorized Official Contact | 2092131928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Empowered Self Inc 2930 Geer Rd # 187 Turlock CA 95382-1142 Ph: (209) 213-1928 | The Empowered Self Inc 323 N Thor St Ste C Turlock CA 95380-4063 Ph: (209) 213-1928 |
| NPI Number | 1902645112 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Medicare PECOS PAC ID | 0042714636 |
|---|---|
| Medicare Enrollment ID | O20250917001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902645112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Diana Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063055812 PECOS PAC ID: 3476050170 Enrollment ID: I20251008003303 |
| Provider Name | David Lewis Mccord |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659076156 PECOS PAC ID: 9638656796 Enrollment ID: I20260120003015 |
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