Empowered Living And Healing Counseling Consulting Group Llc | |
809 Dawson St Waterloo IA 50703-5629 | |
(319) 433-8833 | |
Not Available |
Full Name | Empowered Living And Healing Counseling Consulting Group Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 809 Dawson St, Waterloo, Iowa |
Authorized Official Name and Position | Shantila Marie Caston (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 3194338833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Empowered Living And Healing Counseling Consulting Group Llc 809 Dawson St Waterloo IA 50703-5629 Ph: (319) 433-8833 | Empowered Living And Healing Counseling Consulting Group Llc 809 Dawson St Waterloo IA 50703-5629 Ph: (319) 433-8833 |
NPI Number | 1376230706 |
---|---|
Provider Enumeration Date | 04/18/2023 |
Last Update Date | 04/21/2023 |
Certification Date | 04/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376230706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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