Empowerment Clinical & Consulting Services Of Fredericksburg

LBN: Empowerment Clinical & Consulting Services Of Fredericksburg
Empowerment Clinical & Consulting Services Of Fredericksburg is an health care organization with primary practice located at 307 Lafayette Blvd , Fredericksburg VA 22401-6066. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Empowerment Clinical & Consulting Services Of Fredericksburg can be contacted via phone (540) 903-3487, or through Jackson, Rudi via phone (804) 378-7710.

Contact Information

Primary practice address
307 Lafayette Blvd Fredericksburg VA 22401-6066
Phone: (540) 903-3487
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Rudi
Phone: (804) 378-7710

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 829 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 829-05-001 Virginia
Agencies / Community/Behavioral Health 251S00000X 829-05-001 Virginia

Profile Details

NPI number 1194954008
LBN Legal business name Empowerment Clinical & Consulting Services Of Fredericksburg
DBA Doing business as
Authorized official Jackson, Rudi
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2009
Last updated Apr 8th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194954008 NPPES
Virginia MEDICAID 1194954008

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