Provider Demographics
NPI:1437848389
Name:EMPOWER COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:EMPOWER COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:CELESTINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:760-458-0243
Mailing Address - Street 1:PO BOX 2148
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93556-2148
Mailing Address - Country:US
Mailing Address - Phone:760-458-0243
Mailing Address - Fax:
Practice Address - Street 1:126 S GEMSTONE ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-4118
Practice Address - Country:US
Practice Address - Phone:702-246-2315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty