Organization
EMPOWERING INNER STRENGTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DIERCKS LPC, CSAC, C-AAIS (OWNER)
(608) 630-2484
Entity
Organization
Contact information
Practice address
950 OLD MACK RD, CLARKSVILLE, TN 37040-8338
(512) 887-2862
Mailing address
950 OLD MACK RD, CLARKSVILLE, TN 37040-8338
(608) 630-2484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295228120
—
WI
05
—
14378296
—
VA
Enumeration date
06/14/2018
Last updated
04/01/2025
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