Empower Her Therapy

NPI #1275390205 in Black Creek, Wisconsin

Provider Information

NPI Number: 1275390205
Entity Type: Organization
Organization Name: Empower Her Therapy
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 5, 2024
Last Updated: Mar 5, 2024

Practice Location

Address: W4795 DEER RUN DR
City: Black Creek
State: Wisconsin
ZIP Code: 54106-8175
Phone: (920) 205-6158

Authorized Official

Name: LESLIE ELMER, CPCS
Title: CREDENTIALING MANAGER
Phone: (608) 352-8323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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