Provider Demographics
NPI:1720202476
Name:EMPOWERMENT SERVICES, P.C.
Entity Type:Organization
Organization Name:EMPOWERMENT SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:915-585-9760
Mailing Address - Street 1:5862 CROMO DR
Mailing Address - Street 2:SUITE 145
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5551
Mailing Address - Country:US
Mailing Address - Phone:915-585-9760
Mailing Address - Fax:
Practice Address - Street 1:5862 CROMO DR
Practice Address - Street 2:SUITE 145
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5551
Practice Address - Country:US
Practice Address - Phone:915-585-9760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12443101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004EFOtherBXBS