Provider Demographics
NPI:1609658079
Name:I EMPOWER2EXCEL U
Entity Type:Organization
Organization Name:I EMPOWER2EXCEL U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:D'QUEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAPE
Authorized Official - Suffix:
Authorized Official - Credentials:COUNSELOR ED & SUPER
Authorized Official - Phone:720-296-8409
Mailing Address - Street 1:1025 DECATUR ST APT 519
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3371
Mailing Address - Country:US
Mailing Address - Phone:720-296-8409
Mailing Address - Fax:
Practice Address - Street 1:1025 DECATUR ST APT 519
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3371
Practice Address - Country:US
Practice Address - Phone:720-296-8409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty