Provider Demographics
NPI:1942881982
Name:EMPOWERMENT HEALTH LLC
Entity Type:Organization
Organization Name:EMPOWERMENT HEALTH LLC
Other - Org Name:EMPOWERMENT HEALTH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HYSINTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:240-593-8071
Mailing Address - Street 1:1200 N CENTRAL AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4439
Mailing Address - Country:US
Mailing Address - Phone:240-593-8071
Mailing Address - Fax:
Practice Address - Street 1:1200 N CENTRAL AVE STE 102
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4439
Practice Address - Country:US
Practice Address - Phone:240-593-8071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)