Provider Demographics
NPI:1609254846
Name:THE EMPOWERMENT NETWORK, LLC
Entity Type:Organization
Organization Name:THE EMPOWERMENT NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAJMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-310-9530
Mailing Address - Street 1:2101 EXECUTIVE DR STE 620
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3089
Mailing Address - Country:US
Mailing Address - Phone:757-310-9530
Mailing Address - Fax:757-224-4910
Practice Address - Street 1:2101 EXECUTIVE DR STE 620
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3089
Practice Address - Country:US
Practice Address - Phone:757-310-9530
Practice Address - Fax:757-224-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health