| Empower Counseling Llc | |
|
1790 32nd Ave S Ste 1 Fargo ND 58103-5942 | |
| (701) 532-1477 | |
| (701) 532-1801 |
| Full Name | Empower Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1790 32nd Ave S Ste 1, Fargo, North Dakota |
| Authorized Official Name and Position | Amanda Nichole Bernardy (OWNER) |
| Authorized Official Contact | 7015321477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Counseling Llc 4675 40th Ave S Ste 130 Fargo ND 58104-4444 Ph: (701) 532-1477 | Empower Counseling Llc 1790 32nd Ave S Ste 1 Fargo ND 58103-5942 Ph: (701) 532-1477 |
| NPI Number | 1861955296 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 3779817887 |
|---|---|
| Medicare Enrollment ID | O20190624002680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861955296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda N Bernardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912234840 PECOS PAC ID: 2668698895 Enrollment ID: I20150427000860 |
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