Organization
EMPOWERING EXCEPTIONAL INDIVIDUALS LLC
Active
Organization
EMPOWERING EXCEPTIONAL INDIVIDUALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA SHRIVER (OWNER/ CEO)
(304) 838-3595
Entity
Organization
Contact information
Practice address
7915 MOUNT CLARE RD, MOUNT CLARE, WV 26408-9535
(304) 838-3595
Mailing address
7915 MOUNT CLARE RD, MOUNT CLARE, WV 26408-9535
(304) 838-3595
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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