Organization
EMPOWER THERAPEUTIC SUPPORT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC WEATHERSPOON LMFT (PRESIDENT)
(612) 233-0373
Entity
Organization
Contact information
Practice address
227 COLFAX AVE N SUITE 15, MINNEAPOLIS, MN 55405
(612) 223-0373
(612) 781-2428
Mailing address
227 COLFAX AVE N SUITE 15, MINNEAPOLIS, MN 55405
(612) 223-0373
(612) 223-0373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679732887
—
MN
Enumeration date
06/03/2008
Last updated
04/19/2018
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