Healthcare Provider Details

I. General information

NPI: 1396600011
Provider Name (Legal Business Name): EMPOWER HER THERAPY LICENSED CLINICAL SOCIAL WORKER APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 IMPERIAL HWY STE F224
SANTA FE SPRINGS CA
90670-6774
US

IV. Provider business mailing address

11518 TELEGRAPH RD UNIT 192
SANTA FE SPRINGS CA
90670-3110
US

V. Phone/Fax

Practice location:
  • Phone: 562-660-6223
  • Fax:
Mailing address:
  • Phone: 562-660-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. YASMILET GARCIA
Title or Position: PRESIDENT
Credential: LCSW
Phone: 562-660-6223