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General NPI Number Information
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NPI Number | 1699321588
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Entity Type | Organization
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Legal Business Name | EMPOWERED LIFE COUNSELING SERVICES
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 721 N BEERS ST STE 2B
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City | HOLMDEL
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State | NJ
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Zip | 07733-1500
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Country | US
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Telephone | 732-898-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 721 N BEERS ST STE 2B
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City | HOLMDEL
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State | NJ
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Zip | 07733-1500
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Country | US
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Telephone | 732-598-2891
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH MANNS HOWARD
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Credential | LPC, LCADC
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Telephone | 732-598-2891
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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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