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Organization
EMPOWERING OTHERS TO EMPOWER THEMSELVES
Active
Organization
EMPOWERING OTHERS TO EMPOWER THEMSELVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA JAYE (OWNER)
(646) 610-0015
Entity
Organization
Contact information
Practice address
4600 ECOFF AVE, CHESTER, VA 23831-1712
(646) 610-0015
Mailing address
4600 ECOFF AVE, CHESTER, VA 23831-1712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/29/2018
Last updated
06/05/2019
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