Provider Demographics
NPI:1992208870
Name:EMPOWERED, LLC
Entity Type:Organization
Organization Name:EMPOWERED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-641-1051
Mailing Address - Street 1:2188 CRABTREE LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3518
Mailing Address - Country:US
Mailing Address - Phone:847-641-1051
Mailing Address - Fax:
Practice Address - Street 1:2188 CRABTREE LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3518
Practice Address - Country:US
Practice Address - Phone:847-641-1051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007611235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty