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General NPI Number Information
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NPI Number | 1710769690
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Entity Type | Organization
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Legal Business Name | EMPOWERMENT COUNSELING GROUP, INC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 300 S PINE ISLAND RD STE 201
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City | PLANTATION
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State | FL
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Zip | 33324-2620
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Country | US
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Telephone | 954-479-2767
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Fax | 954-231-4390
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Provider Business Mailing Address
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Address Line | 224 MAPLE TER
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City | DAVIE
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State | FL
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Zip | 33325-6752
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Country | US
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Telephone | 954-479-2767
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Fax | 954-231-4390
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Authorized Official
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Title or Position | DIRECTOR
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Name | LINDA LEVASSEUR
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Credential | LMHC
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Telephone | 954-479-2767
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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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