| Empowered Legacy Center | |
|
1200 Hartford Ave Ste 3b Johnston RI 02919-7143 | |
| (401) 263-0778 | |
| Not Available |
| Full Name | Empowered Legacy Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1200 Hartford Ave Ste 3b, Johnston, Rhode Island |
| Authorized Official Name and Position | Frank Luders Paul (THERAPIST) |
| Authorized Official Contact | 4012630778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Legacy Center 1200 Hartford Ave Ste 3b Johnston RI 02919-7143 Ph: (401) 263-0778 | Empowered Legacy Center 1200 Hartford Ave Ste 3b Johnston RI 02919-7143 Ph: (401) 263-0778 |
| NPI Number | 1710702204 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710702204 | NPI | - | NPPES |
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