MEDICARE: EMPOWERED COUNSELING AND WELLNESS, PLLC

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	:	1750055851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED COUNSELING AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	325 MAMMOTH SPRINGS LN
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-4047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 MAMMOTH SPRINGS LN
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-4047
Country	:	US
Telephone Number	:	832-308-8170
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ERIN SIZEMORE
Credential	:	LPC
Telephone Number	:	832-308-8170

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	08/03/2021

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