Provider Demographics
NPI:1114604329
Name:EMPOWERED HOPE PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:EMPOWERED HOPE PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PYSCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BHAVNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:814-753-1144
Mailing Address - Street 1:881 WORCESTER ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2087
Mailing Address - Country:US
Mailing Address - Phone:814-753-1144
Mailing Address - Fax:
Practice Address - Street 1:60 PENNSBURY
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:814-753-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty