Provider Demographics
NPI:1790400554
Name:EMPOWERED COMMUNICATION LLC
Entity Type:Organization
Organization Name:EMPOWERED COMMUNICATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BURGANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MAED, CCC-SLP
Authorized Official - Phone:217-737-4331
Mailing Address - Street 1:213 E CONRON AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1805
Mailing Address - Country:US
Mailing Address - Phone:217-737-4331
Mailing Address - Fax:
Practice Address - Street 1:149 N VERMILION ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4751
Practice Address - Country:US
Practice Address - Phone:217-737-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty