Provider Demographics
NPI:1417630575
Name:EMPOWERED THERAPY CLE LLC
Entity Type:Organization
Organization Name:EMPOWERED THERAPY CLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:440-328-7798
Mailing Address - Street 1:2860 DETROIT AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2707
Mailing Address - Country:US
Mailing Address - Phone:440-328-7798
Mailing Address - Fax:
Practice Address - Street 1:2860 DETROIT AVE APT 314
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2707
Practice Address - Country:US
Practice Address - Phone:440-328-7798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)