Provider Demographics
NPI:1831942069
Name:EMPOWER YOU COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:EMPOWER YOU COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ANTWAN
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-215-8105
Mailing Address - Street 1:722 WILLOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3563
Mailing Address - Country:US
Mailing Address - Phone:757-215-8105
Mailing Address - Fax:
Practice Address - Street 1:722 WILLOW BROOK RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3563
Practice Address - Country:US
Practice Address - Phone:757-215-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)