Provider Demographics
NPI:1891298881
Name:MPOWER COUNSELING, PLLC
Entity Type:Organization
Organization Name:MPOWER COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-738-1199
Mailing Address - Street 1:7800 CARLYLE AVE APT 4F
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-2006
Mailing Address - Country:US
Mailing Address - Phone:347-738-1199
Mailing Address - Fax:855-644-3085
Practice Address - Street 1:400 KINGS POINT DR APT 504
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4733
Practice Address - Country:US
Practice Address - Phone:347-738-1199
Practice Address - Fax:800-655-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0896821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty