# EMPOWERING GROUNDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093310708
- **Authorized official:** ROXANNE FEVOLD (LMHC/OWNER)
- **Authorized official phone:** (515) 576-9376

## Contact information

- **Practice address:** 531 S 29TH ST STE 1, FORT DODGE, IA 50501-5503
- **Practice address phone:** (515) 576-9376
- **Mailing address:** PO BOX 2400, WATERLOO, IA 50704-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/15/2020
