Organization
EMPOWER TO SUCCESS ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JAMAR KASEY LCSWA (CLINICAL DIRECTOR)
(412) 381-3873
Entity
Organization
Contact information
Practice address
5820 E WT HARRIS BLVD STE 208, CHARLOTTE, NC 28215-4032
(980) 335-1972
Mailing address
5820 E WT HARRIS BLVD STE 208, CHARLOTTE, NC 28215-4032
(980) 335-1972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
05/03/2021
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