Provider Demographics
NPI:1700659026
Name:EMPOWERED PERSPECTIVE COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:EMPOWERED PERSPECTIVE COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:469-200-0251
Mailing Address - Street 1:1738 SAN DONATO LN
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-0104
Mailing Address - Country:US
Mailing Address - Phone:469-200-0251
Mailing Address - Fax:888-690-5666
Practice Address - Street 1:1738 SAN DONATO LN
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-0104
Practice Address - Country:US
Practice Address - Phone:469-200-0251
Practice Address - Fax:888-690-5666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty