Organization
EMPOWERMENT PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE KIERSTIN CARREIRA LCSW (PRESIDENT)
(610) 997-0927
Entity
Organization
Contact information
Practice address
611 GREENE CT, FOUNTAIN HILL, PA 18015-4423
(610) 997-0927
Mailing address
611 GREENE CT, FOUNTAIN HILL, PA 18015-4423
(610) 997-0927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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