Provider Demographics
NPI:1215437959
Name:EMPOWERED HEARTS & MINDS COUNSELING & PSYCHOTHERAPY
Entity type:Organization
Organization Name:EMPOWERED HEARTS & MINDS COUNSELING & PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISULA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASIOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:622-097-3958
Mailing Address - Street 1:21 ORCHARD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2146
Mailing Address - Country:US
Mailing Address - Phone:862-209-7399
Mailing Address - Fax:862-772-7978
Practice Address - Street 1:21 ORCHARD ST FL 2
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2146
Practice Address - Country:US
Practice Address - Phone:862-209-7399
Practice Address - Fax:862-772-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty