Provider Demographics
NPI:1881462737
Name:EMPOWER THERAPY GROUP
Entity type:Organization
Organization Name:EMPOWER THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:NELL
Authorized Official - Last Name:LADER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:803-292-4220
Mailing Address - Street 1:PO BOX 2092
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-2092
Mailing Address - Country:US
Mailing Address - Phone:803-292-4220
Mailing Address - Fax:
Practice Address - Street 1:3115 CIMARRON TRL
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-2749
Practice Address - Country:US
Practice Address - Phone:803-292-4220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty