Organization
EMPOWER HOLDINGS
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FREDERICKSON (OWNER)
(773) 957-4910
Entity
Organization
Contact information
Practice address
2305 E ARAPAHOE RD STE 240, CENTENNIAL, CO 80122-1565
(773) 957-4910
Mailing address
9288 E ASPEN HILL PL, LONE TREE, CO 80124-5432
(773) 957-4910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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