Provider Demographics
NPI:1710769690
Name:EMPOWERMENT COUNSELING GROUP, INC
Entity Type:Organization
Organization Name:EMPOWERMENT COUNSELING GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVASSEUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-479-2767
Mailing Address - Street 1:224 MAPLE TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6752
Mailing Address - Country:US
Mailing Address - Phone:954-479-2767
Mailing Address - Fax:954-231-4390
Practice Address - Street 1:300 S PINE ISLAND RD STE 201
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2620
Practice Address - Country:US
Practice Address - Phone:954-479-2767
Practice Address - Fax:954-231-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty