| Empowered Change Counseling Service Lcc | |
|
3030 Apple Knoll Ln Middletown OH 45044-7991 | |
| (513) 212-6929 | |
| Not Available |
| Full Name | Empowered Change Counseling Service Lcc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3030 Apple Knoll Ln, Middletown, Ohio |
| Authorized Official Name and Position | Eric Stone (OWNER) |
| Authorized Official Contact | 5132126929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Change Counseling Service Lcc 3030 Apple Knoll Ln Middletown OH 45044-7991 Ph: (513) 212-6929 | Empowered Change Counseling Service Lcc 3030 Apple Knoll Ln Middletown OH 45044-7991 Ph: (513) 212-6929 |
| NPI Number | 1811620768 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811620768 | NPI | - | NPPES |
| 1265086573 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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