Provider Demographics
NPI:1346025590
Name:EMPOWERING YOU MENTAL HEALTH, P.L.L.C.
Entity Type:Organization
Organization Name:EMPOWERING YOU MENTAL HEALTH, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:POGREBA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-567-0316
Mailing Address - Street 1:3701 SHORELINE DR STE 202J
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-9596
Mailing Address - Country:US
Mailing Address - Phone:612-567-0316
Mailing Address - Fax:
Practice Address - Street 1:3701 SHORELINE DR STE 202J
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-9596
Practice Address - Country:US
Practice Address - Phone:612-567-0316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty