Organization
EMPOWERMENT CLINICAL AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE EDWARDS (CEO / OWNER)
(804) 922-1189
Entity
Organization
Contact information
Practice address
9500 RAY WHITE RD STE 200, FORT WORTH, TX 76244-9105
(817) 329-5074
Mailing address
9500 RAY WHITE RD, FORT WORTH, TX 76244-6000
(804) 922-1189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/22/2016
Last updated
12/14/2023
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