| Empower Wellness, Llc | |
|
1610 Alice St Waycross GA 31501-4533 | |
| (912) 584-3263 | |
| (912) 809-2296 |
| Full Name | Empower Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610 Alice St, Waycross, Georgia |
| Authorized Official Name and Position | Alicia Marie Thrift (CO-OWNER) |
| Authorized Official Contact | 9125843263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Wellness, Llc 1610 Alice St Waycross GA 31501-4533 Ph: (912) 584-3263 | Empower Wellness, Llc 1610 Alice St Waycross GA 31501-4533 Ph: (912) 584-3263 |
| NPI Number | 1386238723 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 10/24/2021 |
| Certification Date | 10/24/2021 |
| Medicare PECOS PAC ID | 1658774807 |
|---|---|
| Medicare Enrollment ID | O20210726001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386238723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dana Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761331 PECOS PAC ID: 5597047522 Enrollment ID: I20170126001111 |
| Provider Name | Alicia Thrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538604368 PECOS PAC ID: 0648555730 Enrollment ID: I20170403001718 |
Yvonne Thomas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Crescent St, Waycross, GA 31501 Phone: 912-283-5715 Fax: 912-449-7060 | |
Unison Behavioral Health Pharmacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary Street, Waycross, GA 31501 Phone: 912-449-7147 Fax: 912-449-7089 | |
Unison Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary Street, Waycross, GA 31503 Phone: 912-449-7100 Fax: 912-449-7056 | |
Paresh K Thanki, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Boulevard Sq Ste A, Waycross, GA 31501 Phone: 912-490-0078 Fax: 912-490-0083 | |
Memorial Satilla Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-283-3030 Fax: 912-287-2505 | |
Joletha Williams Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Mcdonald St, Waycross, GA 31503 Phone: 912-283-8587 | |
Cls Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Harris Rd, Waycross, GA 31503 Phone: 912-449-7851 Fax: 912-449-7060 |