| Empower To Success Enterprise Llc | |
|
5820 E Wt Harris Blvd Ste 208 Charlotte NC 28215-4032 | |
| (980) 335-1972 | |
| Not Available |
| Full Name | Empower To Success Enterprise Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5820 E Wt Harris Blvd Ste 208, Charlotte, North Carolina |
| Authorized Official Name and Position | Richard Russell Williams (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9803351972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower To Success Enterprise Llc 5820 E Wt Harris Blvd Ste 208 Charlotte NC 28215-4032 Ph: (980) 335-1972 | Empower To Success Enterprise Llc 5820 E Wt Harris Blvd Ste 208 Charlotte NC 28215-4032 Ph: (980) 335-1972 |
| NPI Number | 1326620477 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326620477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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