Healthcare Provider Details
I. General information
NPI: 1205194883
Provider Name (Legal Business Name): EMPOWER U, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2012
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 NW 27TH AVE SUITE E-12
MIAMI FL
33147-4909
US
IV. Provider business mailing address
7900 NW 27TH AVE SUITE E-12
MIAMI FL
33147-4909
US
V. Phone/Fax
- Phone: 786-318-2337
- Fax: 786-906-1220
- Phone: 786-318-2337
- Fax: 786-318-2339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DIANE
WILLIAMS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MAC
Phone: 786-318-2337