| Empowering Therapeutic Solutions | |
|
238 W Spring Dr Macon GA 31220-6644 | |
| (478) 957-1653 | |
| Not Available |
| Full Name | Empowering Therapeutic Solutions |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 238 W Spring Dr, Macon, Georgia |
| Authorized Official Name and Position | Tavorris D White (OWNNER) |
| Authorized Official Contact | 4789571653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Therapeutic Solutions 238 W Spring Dr Macon GA 31220-6644 Ph: (478) 957-1653 | Empowering Therapeutic Solutions 238 W Spring Dr Macon GA 31220-6644 Ph: (478) 957-1653 |
| NPI Number | 1144802653 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144802653 | NPI | - | NPPES |
| 003184666A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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