Organization
ESSENTIALLY EMPOWERED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKEETA WATTS CHW, CLS, DOUA (EXECUTIVE DIRECTOR)
(262) 505-7811
Entity
Organization
Contact information
Practice address
2715 W CARMEN AVE, MILWAUKEE, WI 53209-4228
(262) 505-7811
Mailing address
2715 W CARMEN AVE, MILWAUKEE, WI 53209-4228
(262) 505-7811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/24/2021
Last updated
09/28/2021
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