Healthcare Provider Details

I. General information

NPI: 1740045707
Provider Name (Legal Business Name): THE EMPOWERED PLACE - COUNSELING ADVOCACY CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 N SHERMAN AVE STE B7
MADISON WI
53704-4452
US

IV. Provider business mailing address

621 N SHERMAN AVE STE B7
MADISON WI
53704-4452
US

V. Phone/Fax

Practice location:
  • Phone: 608-620-5380
  • Fax:
Mailing address:
  • Phone: 608-620-5380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMY-NICHOLE FRITTS
Title or Position: FOUNDING PARTNER AND PSYCHOTHERAPIS
Credential: MA, LPC
Phone: 608-620-5380