Organization
EMPOWERED RESILIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA JACKSON LMHC (OWNER)
(301) 213-6399
Entity
Organization
Contact information
Practice address
2201 E 46TH ST STE 108, INDIANAPOLIS, IN 46205-1449
(317) 561-0390
Mailing address
2201 E 46TH ST STE 108, INDIANAPOLIS, IN 46205-1449
(317) 561-0390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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