Organization
PHILADELPHIA EMPOWERMENT CLINIC PLLC
Active
Organization
PHILADELPHIA EMPOWERMENT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES. TYSON LCSW. BCD (EXECUTIVE DIRECTOR)
(445) 455-6045
Entity
Organization
Contact information
Practice address
533 E GIRARD AVE # 604, PHILADELPHIA, PA 19125-3311
(445) 455-6045
(267) 762-4374
Mailing address
533 E GIRARD AVE # 604, PHILADELPHIA, PA 19125-3311
(445) 455-6045
(267) 762-4374
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
07/08/2023
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