Organization
EMPOWERED CHANGE COUNSELING SERVICE LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC STONE (OWNER)
(513) 212-6929
Entity
Organization
Contact information
Practice address
3030 APPLE KNOLL LN, MIDDLETOWN, OH 45044-7991
(513) 212-6929
Mailing address
3030 APPLE KNOLL LN, MIDDLETOWN, OH 45044-7991
(513) 212-6929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265086573
—
OH
Enumeration date
07/07/2022
Last updated
07/07/2022
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