Provider Demographics
NPI:1225414915
Name:THE EMPOWERMENT GROUP
Entity Type:Organization
Organization Name:THE EMPOWERMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COX-PASQUA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, RN
Authorized Official - Phone:602-525-5783
Mailing Address - Street 1:10201 S 51ST ST
Mailing Address - Street 2:STE #130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5215
Mailing Address - Country:US
Mailing Address - Phone:602-525-5783
Mailing Address - Fax:
Practice Address - Street 1:10201 S 51ST ST
Practice Address - Street 2:STE #130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5215
Practice Address - Country:US
Practice Address - Phone:602-525-5783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC13764101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty