OrganizationActive
Empowered Life Counseling, PLLC
NPI 1255924767 · Mental Health Counselor · Fargo, ND
Provider details
- NPI number
- 1255924767
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Maronda Robertson, Licensed Professional Counselor(701) 306-8369
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4357 13th Avenue S Suite 104
Fargo, ND 58103
Phone: (701) 306-8369
Approximate (ZIP-level) locationGet directions
Mailing address
1026 31st Ave W
West Fargo, ND 58078-8245
Registry dates
- Enumerated
- 2021-02-16
- Last updated
- 2021-02-16
- Certified
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.