Provider Demographics
NPI:1417418674
Name:EMPOWERING INITIATIVE, LLC
Entity Type:Organization
Organization Name:EMPOWERING INITIATIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WES
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARDCASTLE-ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:912-695-7863
Mailing Address - Street 1:21 COVE CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9384
Mailing Address - Country:US
Mailing Address - Phone:912-695-7863
Mailing Address - Fax:
Practice Address - Street 1:513 E OGLETHORPE AVE STE F
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-4141
Practice Address - Country:US
Practice Address - Phone:912-208-9850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty