# FAMILY EMPOWERMENT SERVICES LLC

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

## Provider details

- **NPI number:** 1104360734
- **Authorized official:** JOHN W WELLS III PSYD, MA, LLP (OWNER/MANAGER)
- **Authorized official phone:** (269) 759-8750

## Contact information

- **Practice address:** 2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
- **Practice address phone:** (269) 759-8750
- **Mailing address:** 2630 HARMONY PATH, SAINT JOSEPH, MI 49085-8298
- **Mailing address phone:** (269) 759-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 12/16/2016