# EMPOWERED THERAPY BY TARA LORENZ, PLLC

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

## Provider details

- **NPI number:** 1619518412
- **Authorized official:** TARA MCRAE LORENZ LCSW (OWNER)
- **Authorized official phone:** (701) 444-3979

## Contact information

- **Practice address:** 722 N MAIN ST UNIT 4B, WATFORD CITY, ND 58854-7351
- **Practice address phone:** (701) 444-3979
- **Practice address fax:** (701) 444-3944
- **Mailing address:** 722 N MAIN ST UNIT 4B, WATFORD CITY, ND 58854-7351
- **Mailing address phone:** (701) 444-3979
- **Mailing address fax:** (701) 444-3944

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2019
- **Last updated:** 10/02/2019