MEDICARE: EMPATHY COUNSELING, 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972185650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPATHY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1003 S ALEXANDER ST STE 3
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8400
Country	:	US
Telephone Number	:	813-369-1998
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 S ALEXANDER ST STE 3
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8400
Country	:	US
Telephone Number	:	813-369-1998
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOY ANGEL PIERCE
Credential	:
Telephone Number	:	813-369-1998

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

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