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NPI Code Detail

MEDICARE: EMPOWERING LIFE COUNSELING LLC

MEDICARE: EMPOWERING LIFE 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1720879083
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWERING LIFE COUNSELING LLC
Provider Business Mailing Address
First Line : 2441 STATE ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-2216
Country : US
Telephone Number : 765-490-1048
Fax Number :
Provider Business Practice Location Address
First Line : 2441 STATE ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-2216
Country : US
Telephone Number : 765-490-1048
Fax Number :
Authorized Official
Title or Position : CEO
Name : CINDY SUE GREEN-SMITH
Credential : LCSW
Telephone Number : 765-490-1048
Provider Enumeration Date : 05/15/2025
Last Update Date : 01/05/2026

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Directions to “EMPOWERING LIFE COUNSELING LLC ” Practice Location

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