Organization
EMPOWER COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ELAINE MOSS LCSW (OWNER)
(770) 283-8386
Entity
Organization
Contact information
Practice address
4411 SUWANEE DAM RD STE 450, SUWANEE, GA 30024-8706
(770) 283-8386
Mailing address
4411 SUWANEE DAM RD STE 450, SUWANEE, GA 30024-8706
(770) 283-8386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
11/17/2023
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