Provider Demographics
NPI:1477155596
Name:EMPOWERMENT WITHIN LLC
Entity Type:Organization
Organization Name:EMPOWERMENT WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN-MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:414-446-0751
Mailing Address - Street 1:N14W23777 STONE RIDGE DR STE 135
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1164
Mailing Address - Country:US
Mailing Address - Phone:414-446-0751
Mailing Address - Fax:
Practice Address - Street 1:N14W23777 STONE RIDGE DR STE 135
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1164
Practice Address - Country:US
Practice Address - Phone:414-446-0751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty