Provider Demographics
NPI:1720384845
Name:THE EMPOWERMENT CENTRE, LLC
Entity Type:Organization
Organization Name:THE EMPOWERMENT CENTRE, LLC
Other - Org Name:THE EMPOWERMENT CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:702-912-4801
Mailing Address - Street 1:220 E HORIZON DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8035
Mailing Address - Country:US
Mailing Address - Phone:702-912-4801
Mailing Address - Fax:702-938-9056
Practice Address - Street 1:220 E HORIZON DR
Practice Address - Street 2:SUITE G
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8035
Practice Address - Country:US
Practice Address - Phone:702-565-5004
Practice Address - Fax:702-565-5013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00178101YA0400X
101YP2500X, 261QM0801X
NV01099106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty