Provider Demographics
NPI:1437939352
Name:EMPOWER COUNSELING AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:EMPOWER COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIMBER
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-222-0339
Mailing Address - Street 1:5635 MOUNT BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:KEEDYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21756-1529
Mailing Address - Country:US
Mailing Address - Phone:239-222-0339
Mailing Address - Fax:
Practice Address - Street 1:722 SE 6TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1171
Practice Address - Country:US
Practice Address - Phone:352-834-1511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty