| Empowering Counseling Services | |
|
9319 West Sunrise Blvd Plantation FL 33322 | |
| (954) 610-8072 | |
| (954) 602-0836 |
| Full Name | Empowering Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 9319 West Sunrise Blvd, Plantation, Florida |
| Authorized Official Name and Position | Elana Mira Polsyn (PRESIDENT) |
| Authorized Official Contact | 9546108072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Counseling Services 9319 W Sunrise Blvd Plantation FL 33322-5635 Ph: (954) 610-8072 | Empowering Counseling Services 9319 West Sunrise Blvd Plantation FL 33322 Ph: (954) 610-8072 |
| NPI Number | 1831686567 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4486995644 |
|---|---|
| Medicare Enrollment ID | O20190416002409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831686567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11710 (Florida) | Primary |
| Provider Name | Elana M Polsyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568810844 PECOS PAC ID: 3678857307 Enrollment ID: I20170224001164 |
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