# EMPOWER HOUSE CENTER FOR SELF-EFFICACY PLLC

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

## Provider details

- **NPI number:** 1285246629
- **Authorized official:** JAMES RETARIDES LCMHC (FOUNDER)
- **Authorized official phone:** (203) 804-7649

## Contact information

- **Practice address:** 17714 KINGS POINT DR STE B2, CORNELIUS, NC 28031-6928
- **Practice address phone:** (203) 804-7649
- **Mailing address:** 17714 KINGS POINT DR STE B2, CORNELIUS, NC 28031-6928

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020