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NPI Code Detail

MEDICARE: EMPOWER THERAPY SERVICES LLC

MEDICARE: EMPOWER THERAPY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548083801
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWER THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 1329 EGLIN ST
Second Line : STE 200 PMB 321
City : RAPID CITY
State : SD
Zip : 57701
Country : US
Telephone Number : 307-660-3249
Fax Number :
Provider Business Practice Location Address
First Line : 3315 S VALLEY DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57703-5944
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SIERRA STOVER
Credential : LPC-MH
Telephone Number : 307-660-3249
Provider Enumeration Date : 11/05/2024
Last Update Date : 11/05/2024

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Directions to “EMPOWER THERAPY SERVICES LLC ” Practice Location

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