Provider Demographics
NPI:1780257907
Name:EMPOWERED THERAPEUTICS, LLC
Entity type:Organization
Organization Name:EMPOWERED THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEINEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:513-857-2098
Mailing Address - Street 1:5554 EUREKA DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4208
Mailing Address - Country:US
Mailing Address - Phone:513-857-2098
Mailing Address - Fax:513-301-0432
Practice Address - Street 1:5554 EUREKA DR STE B
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4208
Practice Address - Country:US
Practice Address - Phone:513-857-2098
Practice Address - Fax:513-301-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty