Provider Demographics
NPI:1093177750
Name:THE EMPOWERMENT CENTER
Entity Type:Organization
Organization Name:THE EMPOWERMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-501-7289
Mailing Address - Street 1:9002 CHIMNEY ROCK RD # G104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2509
Mailing Address - Country:US
Mailing Address - Phone:305-501-7289
Mailing Address - Fax:305-230-3840
Practice Address - Street 1:9002 CHIMNEY ROCK RD
Practice Address - Street 2:G104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-2509
Practice Address - Country:US
Practice Address - Phone:305-501-7289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health