MEDICARE: EMPOWERED HEALING & WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1013882547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED HEALING & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	119 WINCHESTER PL
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19801-1128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 WINCHESTER PL
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19801-1128
Country	:	US
Telephone Number	:	304-281-3029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA SIMMONS
Credential	:
Telephone Number	:	304-281-3029

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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