# EMPOWER WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1154160471
- **Authorized official:** CALVIN GEORGE APN (APN)
- **Authorized official phone:** (973) 878-9090

## Contact information

- **Practice address:** 111 S ORANGE AVE STE 38, SOUTH ORANGE, NJ 07079-1912
- **Practice address phone:** (973) 878-9090
- **Mailing address:** 111 S ORANGE AVE STE 38, SOUTH ORANGE, NJ 07079-1912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2024
- **Last updated:** 05/24/2024