Organization
EMPOWERED SOUL PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALESA IVORY LP (OWNER)
(402) 261-3714
Entity
Organization
Contact information
Practice address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 261-3714
Mailing address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 261-3714
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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