Provider Demographics
NPI:1356036263
Name:EMPOWERMENT COUNSELING & TRAINING SERVICES, LLC
Entity type:Organization
Organization Name:EMPOWERMENT COUNSELING & TRAINING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:III
Authorized Official - Credentials:LCPC
Authorized Official - Phone:202-441-7989
Mailing Address - Street 1:13106 HAMPTON FARM LN
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-5812
Mailing Address - Country:US
Mailing Address - Phone:202-441-7989
Mailing Address - Fax:
Practice Address - Street 1:3200 CRAIN HWY STE 205
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4843
Practice Address - Country:US
Practice Address - Phone:240-448-2475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)