Provider Demographics
NPI:1518351949
Name:EMPOWERMENT COUNSELING AND PSYCHOTHERAPY CENTER
Entity Type:Organization
Organization Name:EMPOWERMENT COUNSELING AND PSYCHOTHERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOVERN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:866-754-4973
Mailing Address - Street 1:1629 CENTRAL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1693
Mailing Address - Country:US
Mailing Address - Phone:866-754-4973
Mailing Address - Fax:781-436-3032
Practice Address - Street 1:1629 CENTRAL ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1693
Practice Address - Country:US
Practice Address - Phone:866-754-4973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9543103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty