Empower 2gether Counseling Center Inc | |
1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 | |
(615) 930-0309 | |
Not Available |
Full Name | Empower 2gether Counseling Center Inc |
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Speciality | Social Worker |
Location | 1550 N Mount Juliet Rd Ste 112, Mount Juliet, Tennessee |
Authorized Official Name and Position | Claudia Lopez (OWNER) |
Authorized Official Contact | 6159300309 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empower 2gether Counseling Center Inc 1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 Ph: (615) 930-0309 | Empower 2gether Counseling Center Inc 1550 N Mount Juliet Rd Ste 112 Mount Juliet TN 37122-3771 Ph: (615) 930-0309 |
NPI Number | 1578334868 |
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Provider Enumeration Date | 01/15/2024 |
Last Update Date | 01/15/2024 |
Certification Date | 01/15/2024 |
Medicare PECOS PAC ID | 7618312380 |
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Medicare Enrollment ID | O20240304003438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578334868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Claudia Avila-lopez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609472067 PECOS PAC ID: 8527403294 Enrollment ID: I20240304003617 |
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