| The Silentmarck Empowerment Center, Llc | |
|
6761 Nw Elaine St Port Saint Lucie FL 34983-1408 | |
| (772) 577-0981 | |
| (772) 521-8071 |
| Full Name | The Silentmarck Empowerment Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6761 Nw Elaine St, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Marckdaline Johnson (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7725770981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Silentmarck Empowerment Center, Llc 2609 S Federal Hwy # 1116 Fort Pierce FL 34982-5923 Ph: (772) 577-0981 | The Silentmarck Empowerment Center, Llc 6761 Nw Elaine St Port Saint Lucie FL 34983-1408 Ph: (772) 577-0981 |
| NPI Number | 1033939681 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033939681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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