Provider Demographics
NPI:1386669042
Name:EMPOWER COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:EMPOWER COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALILI
Authorized Official - Suffix:X
Authorized Official - Credentials:LCSW
Authorized Official - Phone:714-624-0651
Mailing Address - Street 1:3055 W ORANGE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3154
Mailing Address - Country:US
Mailing Address - Phone:714-624-0651
Mailing Address - Fax:714-998-2941
Practice Address - Street 1:3055 W ORANGE AVE STE 206
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3154
Practice Address - Country:US
Practice Address - Phone:714-624-0651
Practice Address - Fax:714-998-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS21648251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management