Provider Demographics
NPI:1619218617
Name:EMPOWER BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:EMPOWER BEHAVIORAL HEALTH, LLC
Other - Org Name:EMPOWER BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPIDUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:256-519-9144
Mailing Address - Street 1:1304 KENNAMER DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1635
Mailing Address - Country:US
Mailing Address - Phone:256-519-9144
Mailing Address - Fax:
Practice Address - Street 1:1304 KENNAMER DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-1635
Practice Address - Country:US
Practice Address - Phone:256-519-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
AL124103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1275814998OtherNPI