Healthcare Provider Details

I. General information

NPI: 1336816479
Provider Name (Legal Business Name): EMPOWER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 OFFICE PARK CIR STE 106TH
MOUNTAIN BRK AL
35223-2654
US

IV. Provider business mailing address

9 OFFICE PARK CIR STE 106TH
MOUNTAIN BRK AL
35223-2654
US

V. Phone/Fax

Practice location:
  • Phone: 205-730-6570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN ELY
Title or Position: LPC
Credential:
Phone: 205-730-6570