| Empowering Inner Strength, Llc | |
|
1 W Wilson St Madison WI 53703-3445 | |
| (512) 887-2862 | |
| Not Available |
| Full Name | Empowering Inner Strength, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 W Wilson St, Madison, Wisconsin |
| Authorized Official Name and Position | Nicole Diercks (OWNER) |
| Authorized Official Contact | 6086302484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Inner Strength, Llc 12761 Rockwood Ln Woodbridge VA 22192-5015 Ph: (086) 630-2484 | Empowering Inner Strength, Llc 1 W Wilson St Madison WI 53703-3445 Ph: (512) 887-2862 |
| NPI Number | 1295228120 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295228120 | NPI | - | NPPES |
| 1295228120 | Medicaid | WI | |
| 14378296 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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