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NPI Code Detail

MEDICARE: ENLIGHTENED AND EMPOWERED COUNSELING, LLC

MEDICARE: ENLIGHTENED AND EMPOWERED COUNSELING, 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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1407665904
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENLIGHTENED AND EMPOWERED COUNSELING, LLC
Provider Business Mailing Address
First Line : 3419 VIRGINIA BEACH BLVD # 5261
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-4419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 326 ELDERWOOD CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-4355
Country : US
Telephone Number : 757-559-1854
Fax Number :
Authorized Official
Title or Position : OWNER, CEO
Name : ALISHA BOWMAN
Credential : MSW, LCSW
Telephone Number : 757-559-1854
Provider Enumeration Date : 12/31/2024
Last Update Date : 12/31/2024

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Directions to “ENLIGHTENED AND EMPOWERED COUNSELING, LLC ” Practice Location

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