Provider Demographics
NPI:1891548327
Name:EMPOWERING 2 EXCEL
Entity Type:Organization
Organization Name:EMPOWERING 2 EXCEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:B
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-633-5096
Mailing Address - Street 1:570 W CHEYENNE AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-3931
Mailing Address - Country:US
Mailing Address - Phone:702-633-5096
Mailing Address - Fax:
Practice Address - Street 1:570 W CHEYENNE AVE STE 10
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-3931
Practice Address - Country:US
Practice Address - Phone:702-633-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPOWERING 2 EXCEL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty