Provider Demographics
NPI:1134818735
Name:EMPOWER ME THERAPY, PLLC
Entity type:Organization
Organization Name:EMPOWER ME THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYCHENER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:734-945-5515
Mailing Address - Street 1:11064 MARGARET ETTA
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8585
Mailing Address - Country:US
Mailing Address - Phone:734-945-5515
Mailing Address - Fax:
Practice Address - Street 1:11064 MARGARET ETTA
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-8585
Practice Address - Country:US
Practice Address - Phone:734-945-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty