Organization
EMPOWERMENT WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDA WATKINS SANDERS (CEO)
(804) 252-1918
Entity
Organization
Contact information
Practice address
5725 REEDY SPRINGS DR, NORTH CHESTERFIELD, VA 23237-2623
(804) 252-1918
Mailing address
5725 REEDY SPRINGS DR, NORTH CHESTERFIELD, VA 23237-2623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000000
—
VA
Enumeration date
10/10/2017
Last updated
07/30/2021
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