Healthcare Provider Details

I. General information

NPI: 1336056753
Provider Name (Legal Business Name): EMPOWERMH WC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 N CENTRAL AVE STE 230
PHOENIX AZ
85012-1472
US

IV. Provider business mailing address

5225 N CENTRAL AVE STE 230
PHOENIX AZ
85012-1472
US

V. Phone/Fax

Practice location:
  • Phone: 602-730-5307
  • Fax:
Mailing address:
  • Phone: 602-730-5307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. YISROEL LOEB
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD
Phone: 516-547-5871