Provider Demographics
NPI:1508288705
Name:EMPOWERMENT SERVICES, LLC
Entity Type:Organization
Organization Name:EMPOWERMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:PITRE
Authorized Official - Last Name:PELLEGRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:985-688-7730
Mailing Address - Street 1:305 BARRILLEAUX ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:LA
Mailing Address - Zip Code:70374-2730
Mailing Address - Country:US
Mailing Address - Phone:985-688-7730
Mailing Address - Fax:
Practice Address - Street 1:305 BARRILLEAUX ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:LA
Practice Address - Zip Code:70374-2730
Practice Address - Country:US
Practice Address - Phone:985-688-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health