Provider Demographics
NPI:1508679531
Name:EMPOWERED MIND THERAPY
Entity type:Organization
Organization Name:EMPOWERED MIND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-888-0265
Mailing Address - Street 1:4131 W BELMONT AVE UNIT 211
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4628
Mailing Address - Country:US
Mailing Address - Phone:312-888-0265
Mailing Address - Fax:
Practice Address - Street 1:4131 W BELMONT AVE UNIT 211
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4628
Practice Address - Country:US
Practice Address - Phone:312-888-0265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty