Provider Demographics
NPI:1003601881
Name:EMPOWERED HEALTH, LLC
Entity type:Organization
Organization Name:EMPOWERED HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARISE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, APRN
Authorized Official - Phone:636-744-4010
Mailing Address - Street 1:212 C C CAMP RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1271
Mailing Address - Country:US
Mailing Address - Phone:636-744-4010
Mailing Address - Fax:
Practice Address - Street 1:1451 HIGH ST STE 213
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-6447
Practice Address - Country:US
Practice Address - Phone:636-271-5626
Practice Address - Fax:636-206-2886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1639903040OtherNPPES