Healthcare Provider Details

I. General information

NPI: 1659954501
Provider Name (Legal Business Name): EMPOWERED ME COUNSELING CENTERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4516 S 700 E STE 275
MURRAY UT
84107-4192
US

IV. Provider business mailing address

4516 S 700 E STE 275
MURRAY UT
84107-4192
US

V. Phone/Fax

Practice location:
  • Phone: 801-317-1950
  • Fax: 801-317-1951
Mailing address:
  • Phone: 801-317-1950
  • Fax: 801-317-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LUND DRAUGHAN
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 801-317-1950