MEDICARE: EMPATH 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1699520072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPATH LLC

Provider Business Mailing Address
First Line	:	301 CONCOURSE BLVD STE 230
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5643
Country	:	US
Telephone Number	:	800-853-5996
Fax Number	:	804-843-8529

Provider Business Practice Location Address
First Line	:	301 CONCOURSE BLVD STE 230
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5643
Country	:	US
Telephone Number	:	800-853-5996
Fax Number	:	804-843-8529

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL LEIGH HOFFMAN
Credential	:	LPC
Telephone Number	:	804-543-4542

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	05/05/2024

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Directions to “EMPATH LLC ” Practice Location

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