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NPI Code Detail

MEDICARE: EMPOWER HOLDINGS

MEDICARE: EMPOWER HOLDINGS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1225743222
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWER HOLDINGS
Provider Business Mailing Address
First Line : 9288 E ASPEN HILL PL
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5432
Country : US
Telephone Number : 773-957-4910
Fax Number :
Provider Business Practice Location Address
First Line : 2305 E ARAPAHOE RD STE 240
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-1565
Country : US
Telephone Number : 773-957-4910
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NICOLE FREDERICKSON
Credential :
Telephone Number : 773-957-4910
Provider Enumeration Date : 01/16/2023
Last Update Date : 01/16/2023

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