Empowering Exceptional Individuals Llc | |
7915 Mount Clare Rd Mount Clare WV 26408-9535 | |
(304) 838-3595 | |
Not Available |
Full Name | Empowering Exceptional Individuals Llc |
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Speciality | Community/behavioral Health |
Location | 7915 Mount Clare Rd, Mount Clare, West Virginia |
Authorized Official Name and Position | Tasha Shriver (OWNER/ CEO) |
Authorized Official Contact | 3048383595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Empowering Exceptional Individuals Llc 7915 Mount Clare Rd Mount Clare WV 26408-9535 Ph: (304) 838-3595 | Empowering Exceptional Individuals Llc 7915 Mount Clare Rd Mount Clare WV 26408-9535 Ph: (304) 838-3595 |
NPI Number | 1578256319 |
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Provider Enumeration Date | 05/29/2023 |
Last Update Date | 05/29/2023 |
Certification Date | 05/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578256319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |