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Organization
EMPOWERING THERAPEUTIC SOLUTIONS
Active
Organization
EMPOWERING THERAPEUTIC SOLUTIONS
Active
Other names
EMPOWERING THERAPEUTIC SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
TAVORRIS D WHITE LPC (OWNNER)
(478) 957-1653
Entity
Organization
Contact information
Practice address
238 W SPRING DR, MACON, GA 31220-6644
(478) 957-1653
Mailing address
238 W SPRING DR, MACON, GA 31220-6644
(478) 957-1653
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003184666A
—
GA
Enumeration date
04/23/2021
Last updated
04/23/2021
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