Provider Demographics
NPI:1023601705
Name:EMPOWERING MINDS COUNSELING LLC
Entity type:Organization
Organization Name:EMPOWERING MINDS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-CADENA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-507-1977
Mailing Address - Street 1:3803 KUTZTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LAURELDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19605-1844
Mailing Address - Country:US
Mailing Address - Phone:610-507-1977
Mailing Address - Fax:
Practice Address - Street 1:3803 KUTZTOWN RD
Practice Address - Street 2:
Practice Address - City:LAURELDALE
Practice Address - State:PA
Practice Address - Zip Code:19605-1844
Practice Address - Country:US
Practice Address - Phone:610-507-1977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-14
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty