Organization
EMPOWERED LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA A SHAUGHNESSY MSW LCSW (COUNSELOR)
(314) 275-0617
Entity
Organization
Contact information
Practice address
677 N NEW BALLAS RD STE 206, CREVE COEUR, MO 63141-6732
(314) 275-0617
Mailing address
677 N NEW BALLAS RD STE 206, CREVE COEUR, MO 63141-6732
(314) 275-0617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017042409
MISSOURI LCSW LICENSING BOARD
MO
Enumeration date
10/14/2020
Last updated
07/25/2021
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