| Empowerment With Grace Llc | |
|
941 Federal Ct Ste 104 Meadville PA 16335-3232 | |
| (814) 332-0359 | |
| Not Available |
| Full Name | Empowerment With Grace Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 941 Federal Ct Ste 104, Meadville, Pennsylvania |
| Authorized Official Name and Position | Pamela G. Riley (OWNER) |
| Authorized Official Contact | 8143320359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment With Grace Llc 7145 Mike Wood Blvd Conneaut Lake PA 16316-6527 Ph: (814) 332-0359 | Empowerment With Grace Llc 941 Federal Ct Ste 104 Meadville PA 16335-3232 Ph: (814) 332-0359 |
| NPI Number | 1013581651 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013581651 | NPI | - | NPPES |
| 1030215260003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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