| Empowered Life Therapy Pllc | |
|
450 Prairieview Dr Oswego IL 60543-8764 | |
| (630) 842-6585 | |
| (708) 218-9769 |
| Full Name | Empowered Life Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 450 Prairieview Dr, Oswego, Illinois |
| Authorized Official Name and Position | Kasey Elizabeth Huff (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 6308426585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Life Therapy Pllc 450 Prairieview Dr Oswego IL 60543-8764 Ph: (630) 842-6585 | Empowered Life Therapy Pllc 450 Prairieview Dr Oswego IL 60543-8764 Ph: (630) 842-6585 |
| NPI Number | 1245969807 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8628438983 |
|---|---|
| Medicare Enrollment ID | O20230718002295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245969807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kasey Elizabeth Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346781036 PECOS PAC ID: 7810227469 Enrollment ID: I20230718002423 |
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