Provider Demographics
NPI:1245969807
Name:EMPOWERED LIFE THERAPY PLLC
Entity type:Organization
Organization Name:EMPOWERED LIFE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DSW LCSW
Authorized Official - Phone:630-842-6585
Mailing Address - Street 1:450 PRAIRIEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8764
Mailing Address - Country:US
Mailing Address - Phone:630-842-6585
Mailing Address - Fax:708-218-9769
Practice Address - Street 1:450 PRAIRIEVIEW DR
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8764
Practice Address - Country:US
Practice Address - Phone:630-842-6585
Practice Address - Fax:708-218-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty