Organization
EMPOWERED LIVING AND HEALING COUNSELING CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTILA MARIE CASTON LISW (MENTAL HEALTH THERAPIST)
(319) 433-8833
Entity
Organization
Contact information
Practice address
809 DAWSON ST, WATERLOO, IA 50703-5629
(319) 433-8833
Mailing address
809 DAWSON ST, WATERLOO, IA 50703-5629
(319) 433-8833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/21/2023
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