# EMPOWERED GROWTH COUNSELING

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

## Provider details

- **NPI number:** 1134737620
- **Authorized official:** CANDACE MIREA LCSW, LAC (THERAPIST)
- **Authorized official phone:** (208) 502-0664

## Contact information

- **Practice address:** 2809 CONNERY WAY STE B, MISSOULA, MT 59808-1955
- **Practice address phone:** (208) 502-0664
- **Mailing address:** 2809 CONNERY WAY STE B, MISSOULA, MT 59808-1955
- **Mailing address phone:** (208) 502-0664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 09/22/2020