Provider Demographics
NPI:1841098142
Name:EMPOWER WELLNESS 56 LLP
Entity type:Organization
Organization Name:EMPOWER WELLNESS 56 LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-358-8953
Mailing Address - Street 1:1260 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9749
Mailing Address - Country:US
Mailing Address - Phone:551-358-8953
Mailing Address - Fax:551-358-8953
Practice Address - Street 1:1260 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9749
Practice Address - Country:US
Practice Address - Phone:551-358-8953
Practice Address - Fax:551-358-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health