Provider Demographics
NPI:1477155612
Name:THE EMPOWERMENT CENTER LLC
Entity type:Organization
Organization Name:THE EMPOWERMENT CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONQUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-990-3684
Mailing Address - Street 1:2005 OLD GREENBRIER RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2649
Mailing Address - Country:US
Mailing Address - Phone:757-990-3684
Mailing Address - Fax:
Practice Address - Street 1:218 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-1037
Practice Address - Country:US
Practice Address - Phone:757-990-3684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Multi-Specialty