Provider Demographics
NPI:1003223421
Name:EMPOWER, LLC
Entity Type:Organization
Organization Name:EMPOWER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-410-8911
Mailing Address - Street 1:2120 RANGE RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2125
Mailing Address - Country:US
Mailing Address - Phone:727-410-8911
Mailing Address - Fax:727-223-8917
Practice Address - Street 1:2120 RANGE RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2125
Practice Address - Country:US
Practice Address - Phone:727-410-8911
Practice Address - Fax:727-223-8917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health