Organization
EMPOWERING GROWTH COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI LANG (OWNER/THERAPIST)
(603) 819-3136
Entity
Organization
Contact information
Practice address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
(603) 816-3136
Mailing address
PO BOX 622, HAMPSTEAD, NH 03841-0622
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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