Healthcare Provider Details

I. General information

NPI: 1174431407
Provider Name (Legal Business Name): BE EMPOWERED COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11795 KALAMATA DR
DEWITT MI
48820-7940
US

IV. Provider business mailing address

11795 KALAMATA DR
DEWITT MI
48820-7940
US

V. Phone/Fax

Practice location:
  • Phone: 517-881-4262
  • Fax:
Mailing address:
  • Phone: 517-881-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KACIE HUNT
Title or Position: OWNER
Credential: MS,LPC, NCC
Phone: 517-881-4262