Provider Demographics
NPI:1548401821
Name:EMPOWERMENT COUNSELING AND WORKSHOPS, PLLC
Entity Type:Organization
Organization Name:EMPOWERMENT COUNSELING AND WORKSHOPS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWANK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-628-8580
Mailing Address - Street 1:PO BOX 7521
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-7521
Mailing Address - Country:US
Mailing Address - Phone:602-628-8580
Mailing Address - Fax:480-786-1176
Practice Address - Street 1:2266 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6488
Practice Address - Country:US
Practice Address - Phone:602-628-8580
Practice Address - Fax:480-786-1176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1446101YA0400X
AZLPC-1901101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty