MEDICARE: THE SILENTMARCK EMPOWERMENT CENTER, 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	106H00000X	Marriage & Family Therapist
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1033939681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SILENTMARCK EMPOWERMENT CENTER, LLC

Provider Business Mailing Address
First Line	:	2054 VISTA PKWY STE 400
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6742
Country	:	US
Telephone Number	:	561-579-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	6761 NW ELAINE STREET
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983
Country	:	US
Telephone Number	:	561-579-1099
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. MARCKDALINE ST. FORT
Credential	:	PHD, LCSW
Telephone Number	:	561-579-1099

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	03/26/2026

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