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Organization

EMPOWERED FAMILY SC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLIN BLUM LISW-CP, BCBA (OWNER)
(843) 637-6418
Entity
Organization

Contact information

Practice address
952 HOUSTON NORTHCUTT BLVD STE 202, MOUNT PLEASANT, SC 29464-5659
(843) 371-5748
Mailing address
952 HOUSTON NORTHCUTT BLVD STE 202, MOUNT PLEASANT, SC 29464-5659
(843) 637-6418

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12419
SOCIAL WORK
Enumeration date
03/17/2020
Last updated
02/28/2024
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