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Organization
EMPOWER TO SUCCESS ENTERPRISE LLC
Active
Organization
EMPOWER TO SUCCESS ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JAMAR KASEY LCSWA (CLINICAL DIRECTOR)
(412) 381-3873
Entity
Organization
Contact information
Practice address
5820 E WT HARRIS BLVD STE 208, CHARLOTTE, NC 28215-4032
(980) 335-1972
Mailing address
5820 E WT HARRIS BLVD STE 208, CHARLOTTE, NC 28215-4032
(980) 335-1972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
05/03/2021
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