Provider Demographics
NPI:1740931146
Name:EMPOWERING ME EMPOWERING THE MENTAL EMPOWERING THE EMOTIONAL, LLC
Entity type:Organization
Organization Name:EMPOWERING ME EMPOWERING THE MENTAL EMPOWERING THE EMOTIONAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHASHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-274-4919
Mailing Address - Street 1:702 RICHLAND HILLS DR UNIT 769118
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4400
Mailing Address - Country:US
Mailing Address - Phone:210-274-4919
Mailing Address - Fax:210-239-5509
Practice Address - Street 1:85 NE LOOP 410 STE 116
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5844
Practice Address - Country:US
Practice Address - Phone:210-274-4919
Practice Address - Fax:210-239-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No282J00000XHospitalsReligious Nonmedical Health Care InstitutionGroup - Multi-Specialty