Provider Demographics
NPI:1841807377
Name:EMPOWER YOUR TRUTH, L.L.C.
Entity Type:Organization
Organization Name:EMPOWER YOUR TRUTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:OTTO
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LMHP, LPC
Authorized Official - Phone:308-380-4655
Mailing Address - Street 1:1811 W 2ND ST STE 475
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1811 W 2ND ST STE 475
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-5472
Practice Address - Country:US
Practice Address - Phone:308-380-4655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty