Provider Demographics
NPI:1831901461
Name:ALLIANCE 4 EMPOWERMENT, LLC
Entity type:Organization
Organization Name:ALLIANCE 4 EMPOWERMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ-ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, HCI
Authorized Official - Phone:818-423-9226
Mailing Address - Street 1:37844 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7016
Mailing Address - Country:US
Mailing Address - Phone:818-423-9226
Mailing Address - Fax:
Practice Address - Street 1:37844 HALIFAX ST
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7016
Practice Address - Country:US
Practice Address - Phone:818-423-9226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty