Provider Demographics
NPI:1235677584
Name:THE EMPOWERMENT GROUP, LLC
Entity Type:Organization
Organization Name:THE EMPOWERMENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COX-PASQUA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-821-3836
Mailing Address - Street 1:10201 S 51ST ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5215
Mailing Address - Country:US
Mailing Address - Phone:602-821-3836
Mailing Address - Fax:602-651-1244
Practice Address - Street 1:10201 S 51ST ST
Practice Address - Street 2:SUITE 130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5215
Practice Address - Country:US
Practice Address - Phone:602-821-3836
Practice Address - Fax:602-651-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC13764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty