| Empowered Living And Healing Counseling Consulting Group Llc | |
|
809 Dawson St Waterloo IA 50703-5629 | |
| (319) 433-8833 | |
| Not Available |
| Full Name | Empowered Living And Healing Counseling Consulting Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 809 Dawson St, Waterloo, Iowa |
| Authorized Official Name and Position | Shantila Marie Caston (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3194338833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Living And Healing Counseling Consulting Group Llc 809 Dawson St Waterloo IA 50703-5629 Ph: (319) 433-8833 | Empowered Living And Healing Counseling Consulting Group Llc 809 Dawson St Waterloo IA 50703-5629 Ph: (319) 433-8833 |
| NPI Number | 1376230706 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376230706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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