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General NPI Number Information
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NPI Number | 1366946337
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Entity Type | Organization
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Legal Business Name | EMPOWERMENT CENTER LLC
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 497 RTE 79 UNIT A5
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City | MORGANVILLE
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State | NJ
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Zip | 07751-9706
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Country | US
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Telephone | 732-740-0584
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Fax |
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Provider Business Mailing Address
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Address Line | 150 HILLSDALE RD
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City | COLTS NECK
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State | NJ
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Zip | 07722-1147
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Country | US
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Telephone | 732-740-0584
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | ROBIN HYSON
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Credential | LPC
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Telephone | 732-740-0584
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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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