Healthcare Provider Details

I. General information

NPI: 1922700285
Provider Name (Legal Business Name): THE EMPOWERMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27262 VIA INDUSTRIA
TEMECULA CA
92590-3751
US

IV. Provider business mailing address

27262 VIA INDUSTRIA
TEMECULA CA
92590-3751
US

V. Phone/Fax

Practice location:
  • Phone: 951-775-0246
  • Fax:
Mailing address:
  • Phone: 951-514-2939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERESSE LEWIS
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 951-514-2939