| Empower And Grow Llc | |
|
2323 Harleyford Ct Reston VA 20191-2740 | |
| (407) 808-1835 | |
| Not Available |
| Full Name | Empower And Grow Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2323 Harleyford Ct, Reston, Virginia |
| Authorized Official Name and Position | Olivia Yellen (OWNER) |
| Authorized Official Contact | 7039969563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower And Grow Llc 11110 Sunset Hills Rd Reston VA 20190-9997 Ph: (407) 808-1835 | Empower And Grow Llc 2323 Harleyford Ct Reston VA 20191-2740 Ph: (407) 808-1835 |
| NPI Number | 1841068483 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841068483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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