Organization
EMPOWERED WELLNESS CONNECTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE C. WILSON LPC, NCC (OWNER/COUNSELOR)
(937) 367-9242
Entity
Organization
Contact information
Practice address
3021 SAINT GEORGE DR, MANSFIELD, TX 76063-7579
(682) 422-7292
Mailing address
3021 SAINT GEORGE DR, MANSFIELD, TX 76063-7579
(937) 367-9242
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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