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Organization

EMPOWERMENT WITH GRACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA G. RILEY PHD, LPC (OWNER)
(814) 332-0359
Entity
Organization

Contact information

Practice address
941 FEDERAL CT STE 104, MEADVILLE, PA 16335-3232
(814) 332-0359
Mailing address
7145 MIKE WOOD BLVD, CONNEAUT LAKE, PA 16316-6527
(814) 332-0359

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030215260003
PA
Enumeration date
05/18/2021
Last updated
05/18/2021
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