Organization
EMPOWER WELLNESS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN ALLEN LISW (CLINICAL SOCIAL WORKER)
(614) 202-1522
Entity
Organization
Contact information
Practice address
1314 BROOKFOREST DR, COLUMBUS, OH 43204-5041
(614) 202-1522
Mailing address
1314 BROOKFOREST DR, COLUMBUS, OH 43204-5041
(614) 202-1522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093230419
—
OH
Enumeration date
03/24/2025
Last updated
03/24/2025
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