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Organization
TOGETHER EMPOWERED INC
Active
Organization
TOGETHER EMPOWERED INC
Active
Other names
Out of the Box Counseling, Coaching, and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRINA OLIVIA WEST PHD (CLINICAL DIRECTOR)
(404) 900-9583
Entity
Organization
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, STE 4201, BERKLEY LAKE, GA 30071
(404) 900-9586
Mailing address
3470 MCCLURE BRIDGE RD, STE 621, DULUTH, GA 30096
(404) 900-9586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003299810A
—
GA
Enumeration date
04/18/2019
Last updated
08/05/2024
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