| Empower Counseling Center Llc | |
|
4411 Suwanee Dam Rd Ste 450 Suwanee GA 30024-8706 | |
| (770) 283-8386 | |
| Not Available |
| Full Name | Empower Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4411 Suwanee Dam Rd Ste 450, Suwanee, Georgia |
| Authorized Official Name and Position | Jacqueline Elaine Moss (OWNER) |
| Authorized Official Contact | 7702838386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Counseling Center Llc 4411 Suwanee Dam Rd Ste 450 Suwanee GA 30024-8706 Ph: (770) 283-8386 | Empower Counseling Center Llc 4411 Suwanee Dam Rd Ste 450 Suwanee GA 30024-8706 Ph: (770) 283-8386 |
| NPI Number | 1164064366 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164064366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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