| Empowered Therapy Llc | |
|
4465 Milton Ave Ste 107 Janesville WI 53546-9145 | |
| (608) 751-0203 | |
| Not Available |
| Full Name | Empowered Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 4465 Milton Ave Ste 107, Janesville, Wisconsin |
| Authorized Official Name and Position | Kelly M Ringhand (OWNER) |
| Authorized Official Contact | 6082890316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Therapy Llc 4465 Milton Ave Ste 107 Janesville WI 53546-9145 Ph: (608) 751-0203 | Empowered Therapy Llc 4465 Milton Ave Ste 107 Janesville WI 53546-9145 Ph: (608) 751-0203 |
| NPI Number | 1871179218 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 6002251162 |
|---|---|
| Medicare Enrollment ID | O20240228002179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871179218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly M Ringhand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629268354 PECOS PAC ID: 9739524802 Enrollment ID: I20240228002300 |
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