Organization
EMPOWERED VOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GENTRY MA, LPC (OWNER)
(631) 617-1487
Entity
Organization
Contact information
Practice address
41 WATCHUNG AVE STE 314, MONTCLAIR, NJ 07043-1337
(301) 200-1884
Mailing address
41 WATCHUNG AVE STE 314, MONTCLAIR, NJ 07043-1337
(301) 200-1884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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