Empowered Growth Counseling Pllc | |
1303 W Maxwell Ave Spokane WA 99201-2714 | |
(509) 991-9962 | |
Not Available |
Full Name | Empowered Growth Counseling Pllc |
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Speciality | Counselor |
Location | 1303 W Maxwell Ave, Spokane, Washington |
Authorized Official Name and Position | Carissa N Peden (OWNER/PROVIDER) |
Authorized Official Contact | 5099912029 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empowered Growth Counseling Pllc 901 E 2nd Ave Ste 208 Spokane WA 99202-2257 Ph: () - | Empowered Growth Counseling Pllc 1303 W Maxwell Ave Spokane WA 99201-2714 Ph: (509) 991-9962 |
NPI Number | 1548026123 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 12/12/2024 |
Certification Date | 12/12/2024 |
Medicare PECOS PAC ID | 7719421460 |
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Medicare Enrollment ID | O20240705000318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548026123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Carissa Peden |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225518582 PECOS PAC ID: 2264976919 Enrollment ID: I20240705000382 |
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