| Empowered Counseling, Pllc | |
|
7530 103rd St Ste 7 Jacksonville FL 32210-6786 | |
| (904) 337-9073 | |
| (904) 337-4448 |
| Full Name | Empowered Counseling, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7530 103rd St Ste 7, Jacksonville, Florida |
| Authorized Official Name and Position | Christan Bennett Brooks (THERAPIST AND OWNER) |
| Authorized Official Contact | 9046319771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Counseling, Pllc 7530 103rd St Ste 7 Jacksonville FL 32210-6786 Ph: (904) 337-9073 | Empowered Counseling, Pllc 7530 103rd St Ste 7 Jacksonville FL 32210-6786 Ph: (904) 337-9073 |
| NPI Number | 1548885189 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 9032538210 |
|---|---|
| Medicare Enrollment ID | O20201008000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548885189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christan B Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114266731 PECOS PAC ID: 6800154600 Enrollment ID: I20171228001507 |
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