Provider Demographics
NPI:1932805827
Name:EMPOWERED COUNSELING, LLC
Entity type:Organization
Organization Name:EMPOWERED COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DILLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPCC
Authorized Official - Phone:270-316-3303
Mailing Address - Street 1:920 FREDERICA ST STE 309
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-3078
Mailing Address - Country:US
Mailing Address - Phone:270-316-3303
Mailing Address - Fax:
Practice Address - Street 1:920 FREDERICA ST STE 309
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-3078
Practice Address - Country:US
Practice Address - Phone:270-316-3303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty