| Empowered2shift | |
|
351 Wagoner Dr Ste 200 Fayetteville NC 28303-4672 | |
| (910) 587-8623 | |
| Not Available |
| Full Name | Empowered2shift |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 351 Wagoner Dr Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | Shakeeta Torres (MENTAL HEALTH COUNSELOR, CEO) |
| Authorized Official Contact | 9105878623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered2shift 247 Van Buren Dr Raeford NC 28376-9418 Ph: (910) 587-8623 | Empowered2shift 351 Wagoner Dr Ste 200 Fayetteville NC 28303-4672 Ph: (910) 587-8623 |
| NPI Number | 1508379967 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508379967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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