| Empowered Well-being Counseling, Llc | |
|
4419 Pheasant Ridge Rd Ste 200 Roanoke VA 24014-5267 | |
| (540) 315-5318 | |
| (540) 566-3320 |
| Full Name | Empowered Well-being Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4419 Pheasant Ridge Rd Ste 200, Roanoke, Virginia |
| Authorized Official Name and Position | Felicia Lane (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 5403155318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Well-being Counseling, Llc 4419 Pheasant Ridge Rd Ste 200 Roanoke VA 24014-5267 Ph: (540) 315-5318 | Empowered Well-being Counseling, Llc 4419 Pheasant Ridge Rd Ste 200 Roanoke VA 24014-5267 Ph: (540) 315-5318 |
| NPI Number | 1518520527 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 7012241243 |
|---|---|
| Medicare Enrollment ID | O20190621002391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518520527 | NPI | - | NPPES |
| 0004945221 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Felicia B Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639686413 PECOS PAC ID: 5294097762 Enrollment ID: I20180321000543 |
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