Provider Demographics
NPI:1932456712
Name:EMPOWERING INTERVENTIONS
Entity Type:Organization
Organization Name:EMPOWERING INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DASS-BRAILSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:617-921-6431
Mailing Address - Street 1:6520 BRICK HEARTH CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3313
Mailing Address - Country:US
Mailing Address - Phone:703-746-8000
Mailing Address - Fax:
Practice Address - Street 1:1050 17TH ST NW STE 800
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5514
Practice Address - Country:US
Practice Address - Phone:617-921-6431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000499261QM0801X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)