Provider Demographics
NPI:1417685637
Name:EMPOWERMENT & COUNSELING SERVICES BY KAREN, PLLC
Entity Type:Organization
Organization Name:EMPOWERMENT & COUNSELING SERVICES BY KAREN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SIMMONS-CLIFTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC
Authorized Official - Phone:352-870-5127
Mailing Address - Street 1:9128 SAINT BARTS RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-3524
Mailing Address - Country:US
Mailing Address - Phone:352-870-5127
Mailing Address - Fax:
Practice Address - Street 1:9128 SAINT BARTS RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-3524
Practice Address - Country:US
Practice Address - Phone:352-870-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17164OtherMHC LICENSE
TX87779OtherLPC