Provider Demographics
NPI:1295006930
Name:EMPOWER U, INC
Entity Type:Organization
Organization Name:EMPOWER U, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, BSN, MPH
Authorized Official - Phone:786-318-2337
Mailing Address - Street 1:8309 NW 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4101
Mailing Address - Country:US
Mailing Address - Phone:786-318-2337
Mailing Address - Fax:786-318-2339
Practice Address - Street 1:8309 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4101
Practice Address - Country:US
Practice Address - Phone:786-318-2337
Practice Address - Fax:786-318-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686914900Medicaid