Provider Demographics
NPI:1659013209
Name:EMPOWERED PATHWAYS LLC
Entity Type:Organization
Organization Name:EMPOWERED PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-688-6761
Mailing Address - Street 1:1124 E PACIFIC COAST HWY # 1075
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-5102
Mailing Address - Country:US
Mailing Address - Phone:850-688-6761
Mailing Address - Fax:678-840-3887
Practice Address - Street 1:1124 E PACIFIC COAST HWY # 1075
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5102
Practice Address - Country:US
Practice Address - Phone:850-688-6761
Practice Address - Fax:678-840-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty