Organization
EMPOWERED MATURITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK HENTSCH-COWLES MS, NCC, CSAT, LPC (COUNSELOR)
(469) 480-9098
Entity
Organization
Contact information
Practice address
13355 NOEL RD STE 1100, DALLAS, TX 75240-6694
(469) 480-9098
Mailing address
5225 VERDE VALLEY LN APT 102, DALLAS, TX 75254-7901
(203) 451-6385
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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