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General NPI Number Information
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NPI Number | 1336804004
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Entity Type | Organization
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Legal Business Name | EMPOWER PROFESSIONAL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/07/2021
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4348 LORRAINE CT
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City | GULF BREEZE
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State | FL
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Zip | 32563-8112
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Country | US
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Telephone | 850-328-4464
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Fax | 850-764-6004
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Provider Business Mailing Address
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Address Line | 4348 LORRAINE CT
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City | GULF BREEZE
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State | FL
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Zip | 32563-8112
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Country | US
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Telephone | 850-328-4464
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Fax | 850-764-6004
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Authorized Official
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Title or Position | OWNER/LMHC
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Name | JONI MARIE WINSTEAD
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Credential | LMHC, NCC, MCAP, CTP
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Telephone | 850-328-4464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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