Organization
EMPOWERED SOL WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI HUSTON (OWNER)
(406) 781-2314
Entity
Organization
Contact information
Practice address
7530 103RD ST STE 7, JACKSONVILLE, FL 32210-6786
(904) 872-2225
(406) 559-3241
Mailing address
7530 103RD ST STE 7, JACKSONVILLE, FL 32210-6786
(904) 872-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/24/2019
Last updated
07/07/2020
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