| Empowering Light Counseling, Llc | |
|
2300 Woodforest Pkwy N Ste 250-432 Montgomery TX 77316-6501 | |
| (936) 220-1383 | |
| Not Available |
| Full Name | Empowering Light Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2300 Woodforest Pkwy N Ste 250-432, Montgomery, Texas |
| Authorized Official Name and Position | Zoe L. Ingalls (OWNER/COUNSELOR) |
| Authorized Official Contact | 9362130459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Light Counseling, Llc 2300 Woodforest Pkwy N Ste 250-432 Montgomery TX 77316-6501 Ph: (936) 220-1383 | Empowering Light Counseling, Llc 2300 Woodforest Pkwy N Ste 250-432 Montgomery TX 77316-6501 Ph: (936) 220-1383 |
| NPI Number | 1285306316 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 0648662700 |
|---|---|
| Medicare Enrollment ID | O20220121001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285306316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Zoe M Ingalls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548758048 PECOS PAC ID: 7416212592 Enrollment ID: I20220124001260 |
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