Empowered Legacy Center
NPI #1710702204 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1710702204
- Entity Type
- Organization
- Organization Name
- Empowered Legacy Center
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 1200 HARTFORD AVE STE 3B
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-7143
- Phone
- (401) 263-0778
Authorized Official
- Name
- FRANK LUDERS PAUL, LICSW
- Title
- THERAPIST
- Phone
- (401) 263-0778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Psychologist - Clinical — Clinical |
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