Provider Demographics
| NPI: | 1659954501 |
|---|---|
| Name: | EMPOWERED ME COUNSELING CENTERS, PLLC |
| Entity type: | Organization |
| Organization Name: | EMPOWERED ME COUNSELING CENTERS, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CLINICAL DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | HEATHER |
| Authorized Official - Middle Name: | LUND |
| Authorized Official - Last Name: | DRAUGHAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCSW |
| Authorized Official - Phone: | 801-317-1950 |
| Mailing Address - Street 1: | 4516 S 700 E STE 275 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MURRAY |
| Mailing Address - State: | UT |
| Mailing Address - Zip Code: | 84107-4192 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 801-317-1950 |
| Mailing Address - Fax: | 801-317-1951 |
| Practice Address - Street 1: | 4516 S 700 E STE 275 |
| Practice Address - Street 2: | |
| Practice Address - City: | MURRAY |
| Practice Address - State: | UT |
| Practice Address - Zip Code: | 84107-4192 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 801-317-1950 |
| Practice Address - Fax: | 801-317-1951 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-04-29 |
| Last Update Date: | 2022-03-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |