| Empower Counseling Services, Llc | |
|
1324 Lake Dr Se Ste 5 Grand Rapids MI 49506-1673 | |
| (616) 717-3935 | |
| Not Available |
| Full Name | Empower Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1324 Lake Dr Se Ste 5, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rachel Bauer (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6167173935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Counseling Services, Llc 1324 Lake Dr Se Ste 5 Grand Rapids MI 49506-1673 Ph: (616) 717-3935 | Empower Counseling Services, Llc 1324 Lake Dr Se Ste 5 Grand Rapids MI 49506-1673 Ph: (616) 717-3935 |
| NPI Number | 1528446028 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 1355643776 |
|---|---|
| Medicare Enrollment ID | O20151231000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528446028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rachel Beth Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255775714 PECOS PAC ID: 3779891957 Enrollment ID: I20151231001121 |
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