| Empowered Life Counseling Llc | |
|
677 N New Ballas Rd Ste 206 Creve Coeur MO 63141-6732 | |
| (314) 275-0617 | |
| Not Available |
| Full Name | Empowered Life Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 677 N New Ballas Rd Ste 206, Creve Coeur, Missouri |
| Authorized Official Name and Position | Kara A Shaughnessy (COUNSELOR) |
| Authorized Official Contact | 3142750617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Life Counseling Llc 677 N New Ballas Rd Ste 206 Creve Coeur MO 63141-6732 Ph: (314) 275-0617 | Empowered Life Counseling Llc 677 N New Ballas Rd Ste 206 Creve Coeur MO 63141-6732 Ph: (314) 275-0617 |
| NPI Number | 1497353171 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 07/25/2021 |
| Certification Date | 07/25/2021 |
| Medicare PECOS PAC ID | 1052714854 |
|---|---|
| Medicare Enrollment ID | O20210729003847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497353171 | NPI | - | NPPES |
| 2017042409 | Other | MO | MISSOURI LCSW LICENSING BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kara A Shaughnessy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770074833 PECOS PAC ID: 2961805767 Enrollment ID: I20210729003882 |
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