Provider Demographics
NPI:1144611138
Name:ELITE EMPOWERMENT COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ELITE EMPOWERMENT COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESSOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-469-8277
Mailing Address - Street 1:10350 NW 30TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5050
Mailing Address - Country:US
Mailing Address - Phone:919-358-6062
Mailing Address - Fax:
Practice Address - Street 1:10350 NW 30TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-5050
Practice Address - Country:US
Practice Address - Phone:919-358-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11815101YM0800X
FLMH12325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty