Provider Demographics
NPI:1245976331
Name:EMPOWERING YOUNG PEOPLE INC.
Entity type:Organization
Organization Name:EMPOWERING YOUNG PEOPLE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:352-874-0639
Mailing Address - Street 1:9200 OAK ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7304
Mailing Address - Country:US
Mailing Address - Phone:352-874-0639
Mailing Address - Fax:
Practice Address - Street 1:13806 STATE ROAD 33
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-9499
Practice Address - Country:US
Practice Address - Phone:352-874-0639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty