Organization
EMPOWER TCT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA A TRAGA LCSW (CEO)
(805) 266-3231
Entity
Organization
Contact information
Practice address
330 JAMES WAY STE 180, PISMO BEACH, CA 93449-2891
(805) 266-3231
Mailing address
1741 WINCHESTER WAY, SANTA MARIA, CA 93454-2665
(805) 266-3231
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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