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Empower To Success Enterprise LLC

Counselor, Mental Health in Charlotte, NC. Organization (NPI-2).

NPI number1124665641
StatusActive
Last updated in NPPESMay 3, 2021

Details

NPI
1124665641
Entity type
Organization (NPI-2)
Legal business name
Empower To Success Enterprise LLC
Organization subpart
No
Enumeration date
Dec 3, 2019
Certification date
May 3, 2021
Last updated
May 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

5820 E Wt Harris Blvd Ste 208
Charlotte, NC 28215-4032

Phone 980-335-1972

Mailing address

5820 E Wt Harris Blvd Ste 208
Charlotte, NC 28215-4032

Phone 980-335-1972

Other practice locations

355 5th Ave Ste 1416
Pittsburgh, PA 15222-2419

Phone 170-429-9719

Authorized official

Gary Jamar Kasey
Clinical Director
4123813873

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