Healthcare Provider Details

I. General information

NPI: 1962054825
Provider Name (Legal Business Name): EMPOWER U, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 03/09/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 NW 27TH AVE STE E-12
MIAMI FL
33147-4909
US

IV. Provider business mailing address

7900 NW 27TH AVE STE E-12
MIAMI FL
33147-4909
US

V. Phone/Fax

Practice location:
  • Phone: 786-296-1356
  • Fax: 786-513-8217
Mailing address:
  • Phone: 786-318-2337
  • Fax: 786-906-1204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANE WILLIAMS
Title or Position: CEO
Credential: MAC
Phone: 786-318-2337