Organization
EMPOWERED LIFE LLC
Active
Other names
Empowered Women, Empowered Families
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ROTH LCSW (OWNER, THERAPIST)
(248) 761-3284
Entity
Organization
Contact information
Practice address
709 W BAY ST, TAMPA, FL 33606-2705
(813) 658-8071
(813) 820-0404
Mailing address
709 W BAY ST, TAMPA, FL 33606-2705
(813) 658-8071
(813) 820-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316290372
INDIVIDUAL NPI
FL
01
—
1366981946
PROVIDER NPI
FL
Enumeration date
08/08/2019
Last updated
08/08/2019
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