Provider Demographics
NPI:1487828950
Name:THE EMPOWERMENT SERVICES GROUP INCORPORATED
Entity Type:Organization
Organization Name:THE EMPOWERMENT SERVICES GROUP INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:434-955-7447
Mailing Address - Street 1:876 N MECKLENBURG AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-4001
Mailing Address - Country:US
Mailing Address - Phone:434-955-7447
Mailing Address - Fax:434-955-7448
Practice Address - Street 1:876 N MECKLENBURG AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-4001
Practice Address - Country:US
Practice Address - Phone:434-955-7447
Practice Address - Fax:434-955-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management