Empowered Psychological Services, Pllc | |
4321 Kingwood Dr Ste 566 Kingwood TX 77339-3700 | |
(832) 558-4882 | |
Not Available |
Full Name | Empowered Psychological Services, Pllc |
---|---|
Speciality | Psychologist |
Location | 4321 Kingwood Dr Ste 566, Kingwood, Texas |
Authorized Official Name and Position | Kara Williams (OWNER) |
Authorized Official Contact | 7133852878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Empowered Psychological Services, Pllc 4321 Kingwood Dr Ste 566 Kingwood TX 77339-3700 Ph: (832) 558-4882 | Empowered Psychological Services, Pllc 4321 Kingwood Dr Ste 566 Kingwood TX 77339-3700 Ph: (832) 558-4882 |
NPI Number | 1811778491 |
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Provider Enumeration Date | 10/10/2023 |
Last Update Date | 10/10/2023 |
Certification Date | 10/06/2023 |
Medicare PECOS PAC ID | 8921442807 |
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Medicare Enrollment ID | O20240219003132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811778491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Brent Alan Lang |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710553573 PECOS PAC ID: 4082005939 Enrollment ID: I20220103001390 |
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