| Empowerment Counseling And Psychotherapy Center | |
|
1629 Central St Suite 4 Stoughton MA 02072-1693 | |
| (866) 754-4973 | |
| Not Available |
| Full Name | Empowerment Counseling And Psychotherapy Center |
|---|---|
| Speciality | Psychologist |
| Location | 1629 Central St, Stoughton, Massachusetts |
| Authorized Official Name and Position | Lovern R Moseley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8667544973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Counseling And Psychotherapy Center 1629 Central St Ste 3 Stoughton MA 02072-1693 Ph: (866) 754-4973 | Empowerment Counseling And Psychotherapy Center 1629 Central St Suite 4 Stoughton MA 02072-1693 Ph: (866) 754-4973 |
| NPI Number | 1518351949 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 2163848375 |
|---|---|
| Medicare Enrollment ID | O20200819000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518351949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 9543 (Massachusetts) | Primary |
| Provider Name | Cindy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326178344 PECOS PAC ID: 9739341686 Enrollment ID: I20120510000294 |
| Provider Name | Lovern Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023255742 PECOS PAC ID: 0648424499 Enrollment ID: I20130508000487 |
| Provider Name | Ayako C Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922152743 PECOS PAC ID: 0042539884 Enrollment ID: I20150429001713 |
| Provider Name | Todd M Cassidy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073891834 PECOS PAC ID: 8820365265 Enrollment ID: I20170606001822 |
| Provider Name | Maria N. Neves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669769725 PECOS PAC ID: 0345668513 Enrollment ID: I20200921001471 |
| Provider Name | Brandy T Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518170257 PECOS PAC ID: 3577958867 Enrollment ID: I20220323002759 |
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