Provider Demographics
NPI:1578334868
Name:EMPOWER 2GETHER COUNSELING CENTER INC
Entity Type:Organization
Organization Name:EMPOWER 2GETHER COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-930-0309
Mailing Address - Street 1:1550 N MOUNT JULIET RD STE 112
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3771
Mailing Address - Country:US
Mailing Address - Phone:615-930-0309
Mailing Address - Fax:
Practice Address - Street 1:1550 N MOUNT JULIET RD STE 112
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3771
Practice Address - Country:US
Practice Address - Phone:615-930-0309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty