| Empower And Evolve, Llc | |
|
13155 Celtic Horizon City TX 79928-2128 | |
| (915) 873-9521 | |
| Not Available |
| Full Name | Empower And Evolve, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13155 Celtic, Horizon City, Texas |
| Authorized Official Name and Position | Arlet Itzel Olivares (OWNER) |
| Authorized Official Contact | 9158739521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower And Evolve, Llc 13155 Celtic Horizon City TX 79928-2128 Ph: (915) 873-9521 | Empower And Evolve, Llc 13155 Celtic Horizon City TX 79928-2128 Ph: (915) 873-9521 |
| NPI Number | 1871183194 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Medicare PECOS PAC ID | 5991104168 |
|---|---|
| Medicare Enrollment ID | O20210528000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871183194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Arlet I Olivares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295321180 PECOS PAC ID: 9436558269 Enrollment ID: I20210528000031 |
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