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General NPI Number Information
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NPI Number | 1104770866
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Entity Type | Organization
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Legal Business Name | EMPOWER MENTAL WELLNESS
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 236 PROVIDENCE FARM DR
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-7469
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Country | US
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Telephone | 951-561-3367
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Fax |
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Provider Business Mailing Address
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Address Line | 236 PROVIDENCE FARM DR
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-7469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CASSIE CAMPBELL
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Credential | LPCC
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Telephone | 951-486-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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