Provider Demographics
NPI:1245687482
Name:EMPOWERED CONNECTIONS, LLC
Entity type:Organization
Organization Name:EMPOWERED CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DULEY
Authorized Official - Suffix:
Authorized Official - Credentials:LGSW
Authorized Official - Phone:443-968-1555
Mailing Address - Street 1:41650 COURTHOUSE DR UNIT 301
Mailing Address - Street 2:PO BOX 2456
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-3893
Mailing Address - Country:US
Mailing Address - Phone:301-690-0779
Mailing Address - Fax:443-407-4455
Practice Address - Street 1:41650 COURTHOUSE DR UNIT 301
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3893
Practice Address - Country:US
Practice Address - Phone:301-690-0779
Practice Address - Fax:443-407-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty