=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790567964
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWER PSYCHOTHERAPY MENTAL HEALTH COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/20/2023
-----------------------------------------------------
Last Update Date | 03/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 209 S GOODMAN ST
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14607-2711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-634-2241
-----------------------------------------------------
Fax | 585-401-6613
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 130 N WINTON RD UNIT 10036
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14610-7001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-634-2241
-----------------------------------------------------
Fax | 585-401-6613
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER & MENTAL HEALTH THERAPIST
-----------------------------------------------------
Name | MS. MEAGHAN CONFER
-----------------------------------------------------
Credential | LMHC, NCC, MS
-----------------------------------------------------
Telephone | 585-634-2241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------