Organization
EMBODIED EMPOWERMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DAWN BYRD LCSW (OWNER/PRESIDENT)
(928) 719-0009
Entity
Organization
Contact information
Practice address
7650 S MCCLINTOCK DR STE 103-264, TEMPE, AZ 85284-1672
(928) 719-0009
Mailing address
7650 S MCCLINTOCK DR STE 103-264, TEMPE, AZ 85284-1672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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