Provider Demographics
NPI:1912395583
Name:EMPOWERMENT SERVICES LLC
Entity Type:Organization
Organization Name:EMPOWERMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMSW
Authorized Official - Phone:641-683-3567
Mailing Address - Street 1:307 E ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-1129
Mailing Address - Country:US
Mailing Address - Phone:641-683-3567
Mailing Address - Fax:641-683-3567
Practice Address - Street 1:307 E ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1129
Practice Address - Country:US
Practice Address - Phone:641-683-3567
Practice Address - Fax:641-683-3567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management