| Empowering Youth Inc | |
|
901 Nw 8th Ave Ste C13 Gainesville FL 32601-3832 | |
| (305) 654-7251 | |
| (305) 647-0203 |
| Full Name | Empowering Youth Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 901 Nw 8th Ave Ste C13, Gainesville, Florida |
| Authorized Official Name and Position | Andrea Wanza (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3056547251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Youth Inc 1031 Ives Dairy Rd Ste 228 Miami FL 33179-2538 Ph: (305) 654-7251 | Empowering Youth Inc 901 Nw 8th Ave Ste C13 Gainesville FL 32601-3832 Ph: (305) 654-7251 |
| NPI Number | 1962273326 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962273326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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