# EMPOWERED LIFE COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1255924767
- **Authorized official:** MARONDA SUE ROBERTSON LPCC (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (701) 306-8369

## Contact information

- **Practice address:** 4357 13TH AVENUE S SUITE 104, FARGO, ND 58103
- **Practice address phone:** (701) 306-8369
- **Mailing address:** 1026 31ST AVE W, WEST FARGO, ND 58078-8245
- **Mailing address phone:** (701) 361-4093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 02/16/2021