Organization Active NPI

Empowered Living Counseling and Life Coaching, LLC

  • Mental Health Counselor
  • Warner Robins, GA
National Provider Identifier
1023579778
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMPOWERED LIVING COUNSELING AND LIFE COACHING, LLC
Doing business as
Empowered Living Counseling and Life Coaching, LLC
Practice address
2525 Moody Rd Ste 105
Warner Robins, GA 31088-6110
Phone
(478) 202-8947
Fax
(888) 540-0763
NPI assigned
Mar 26, 2019
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Trawick, LPCNPI 1457726978
Title
Owner
Phone
(478) 390-8408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2525 Moody Rd Ste 105
Warner Robins, GA 31088-6110

Mailing address

2525 Moody Rd Ste 105
Warner Robins, GA 31088-6110
Phone (478) 202-8947

Other names 1

  • Empowered Living Counseling and Life Coaching, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2525 Moody Rd
Ste 105
Warner Robins, GA 31088
Phone (478) 202-8947

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1023579778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MOODY RD STE 105",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886110",
            "telephone_number": "478-202-8947",
            "fax_number": "888-540-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MOODY RD STE 105",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886110",
            "telephone_number": "478-202-8947",
            "fax_number": "888-540-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LIVING COUNSELING AND LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-390-8408",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Living Counseling and Life Coaching, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empowered Living Counseling and Life Coaching, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.