Provider Demographics
NPI:1457947855
Name:EMPOWERING CONSULTATION SERVICES
Entity Type:Organization
Organization Name:EMPOWERING CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-504-3121
Mailing Address - Street 1:4715 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-1707
Mailing Address - Country:US
Mailing Address - Phone:409-504-3121
Mailing Address - Fax:
Practice Address - Street 1:2595 W LUCAS DR UNIT 2
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7808
Practice Address - Country:US
Practice Address - Phone:409-504-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management