Provider Demographics
NPI:1740075977
Name:EMPOWER COMMUNITY HEALTH SERVICES
Entity type:Organization
Organization Name:EMPOWER COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUENELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:CCHW, PBT, CMA
Authorized Official - Phone:401-492-3547
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02862-0042
Mailing Address - Country:US
Mailing Address - Phone:401-492-3547
Mailing Address - Fax:
Practice Address - Street 1:24 REBEKAH ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-1121
Practice Address - Country:US
Practice Address - Phone:401-492-3547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health