Healthcare Provider Details

I. General information

NPI: 1790621993
Provider Name (Legal Business Name): THE EMPOWERMENT PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 E 62ND PL
COMMERCE CITY CO
80022-3405
US

IV. Provider business mailing address

1600 YORK ST
DENVER CO
80206-1431
US

V. Phone/Fax

Practice location:
  • Phone: 720-769-2552
  • Fax:
Mailing address:
  • Phone: 303-320-1989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JULIE KIEHL
Title or Position: ED
Credential: J.D.
Phone: 303-320-1989