Provider Demographics
NPI:1790472561
Name:EMPOWER YOU THERAPY INC.
Entity Type:Organization
Organization Name:EMPOWER YOU THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHER
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CCTP, MS, PPSC
Authorized Official - Phone:619-301-6788
Mailing Address - Street 1:30650 RANCHO CALIFORNIA RD
Mailing Address - Street 2:SUITE D406 #359
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591
Mailing Address - Country:US
Mailing Address - Phone:619-301-6788
Mailing Address - Fax:949-249-7001
Practice Address - Street 1:28459 PLYMOUTH WAY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3544
Practice Address - Country:US
Practice Address - Phone:619-301-6788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)