| Empower 2gether Counseling Center Inc | |
|
1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 | |
| (615) 930-0309 | |
| Not Available |
| Full Name | Empower 2gether Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1550 N Mount Juliet Rd Ste 112, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Claudia Lopez (OWNER) |
| Authorized Official Contact | 6159300309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower 2gether Counseling Center Inc 1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 Ph: (615) 930-0309 | Empower 2gether Counseling Center Inc 1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 Ph: (615) 930-0309 |
| NPI Number | 1578334868 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 7618312380 |
|---|---|
| Medicare Enrollment ID | O20240304003438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578334868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Claudia Avila-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609472067 PECOS PAC ID: 8527403294 Enrollment ID: I20240304003617 |
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