Organization
EMPOWER THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA K JOHNSON LCSW (OWNER)
(404) 840-6462
Entity
Organization
Contact information
Practice address
3100 DREWSKY LN UNIT 108, FORT MILL, SC 29715-0112
(404) 840-6462
Mailing address
3100 DREWSKY LN UNIT 108, FORT MILL, SC 29715-0112
(404) 840-6462
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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