| Empowered To Evolve, Llc | |
|
1 Orient Way Ste F304 Rutherford NJ 07070-2524 | |
| (551) 444-2339 | |
| Not Available |
| Full Name | Empowered To Evolve, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Orient Way Ste F304, Rutherford, New Jersey |
| Authorized Official Name and Position | Milira Cox (OWNER) |
| Authorized Official Contact | 5514442339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered To Evolve, Llc 1 Orient Way Ste F304 Rutherford NJ 07070-2524 Ph: (551) 444-2339 | Empowered To Evolve, Llc 1 Orient Way Ste F304 Rutherford NJ 07070-2524 Ph: (551) 444-2339 |
| NPI Number | 1881288553 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881288553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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