Provider Demographics
NPI:1942786777
Name:STRENGTH EMPOWERED MENTAL HEALTH
Entity Type:Organization
Organization Name:STRENGTH EMPOWERED MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-388-0175
Mailing Address - Street 1:1305 E PALMDALE BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4853
Mailing Address - Country:US
Mailing Address - Phone:661-388-0175
Mailing Address - Fax:888-216-8194
Practice Address - Street 1:1305 E PALMDALE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4853
Practice Address - Country:US
Practice Address - Phone:661-388-0175
Practice Address - Fax:888-216-8194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104136106H00000X
CA102813106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty