Healthcare Provider Details

I. General information

NPI: 1780590778
Provider Name (Legal Business Name): EMPOWER YOUR PATH FAMILY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13718 W BERRIDGE LN
LITCHFIELD PARK AZ
85340-5349
US

IV. Provider business mailing address

13718 W BERRIDGE LN
LITCHFIELD PARK AZ
85340-5349
US

V. Phone/Fax

Practice location:
  • Phone: 623-404-5377
  • Fax:
Mailing address:
  • Phone: 602-404-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SHAWN JONES
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 602-419-7390