MEDICARE: EMPOWERED LIFE COUNSELING SERVICES

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	:	1699321588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED LIFE COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	721 N BEERS ST STE 2B
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1500
Country	:	US
Telephone Number	:	732-598-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 N BEERS ST STE 2B
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1500
Country	:	US
Telephone Number	:	732-898-3991
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ELIZABETH MANNS HOWARD
Credential	:	LPC, LCADC
Telephone Number	:	732-598-2891

Provider Enumeration Date	:	08/15/2019
Last Update Date	:	03/11/2025

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