| Empowering Exceptional Individuals Llc | |
| 7915 Mount Clare Rd Mount Clare WV 26408-9535 | |
| (304) 838-3595 | |
| Not Available | 
| Full Name | Empowering Exceptional Individuals Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 7915 Mount Clare Rd, Mount Clare, West Virginia | 
| Authorized Official Name and Position | Tasha Shriver (OWNER/ CEO) | 
| Authorized Official Contact | 3048383595 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Empowering Exceptional Individuals Llc 7915 Mount Clare Rd Mount Clare WV 26408-9535 Ph: (304) 838-3595 | Empowering Exceptional Individuals Llc 7915 Mount Clare Rd Mount Clare WV 26408-9535 Ph: (304) 838-3595 | 
| NPI Number | 1578256319 | 
|---|---|
| Provider Enumeration Date | 05/29/2023 | 
| Last Update Date | 05/29/2023 | 
| Certification Date | 05/29/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578256319 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |