| Center For Personal Empowerment, Llc | |
|
601 Underwood St Suite A1a Zanesville OH 43701-3771 | |
| (740) 450-1615 | |
| (740) 297-7707 |
| Full Name | Center For Personal Empowerment, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Underwood St, Zanesville, Ohio |
| Authorized Official Name and Position | Teresa R. Headley Daugherty (SENIOR PARTNER) |
| Authorized Official Contact | 7404501615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Personal Empowerment, Llc 601 Underwood St Suite A1a Zanesville OH 43701-3771 Ph: (740) 450-1615 | Center For Personal Empowerment, Llc 601 Underwood St Suite A1a Zanesville OH 43701-3771 Ph: (740) 450-1615 |
| NPI Number | 1205151222 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 01/09/2019 |
| Medicare PECOS PAC ID | 7315379542 |
|---|---|
| Medicare Enrollment ID | O20191108002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205151222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | E2421 (Ohio) | Primary |
| Provider Name | Melinda S Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063649879 PECOS PAC ID: 3870775893 Enrollment ID: I20130603000373 |
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