Healthcare Provider Details

I. General information

NPI: 1598695645
Provider Name (Legal Business Name): EMPOWERCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 BELRIDGE RD
UPPER MARLBORO MD
20772-3621
US

IV. Provider business mailing address

5700 BELRIDGE RD
UPPER MARLBORO MD
20772-3621
US

V. Phone/Fax

Practice location:
  • Phone: 612-810-6309
  • Fax:
Mailing address:
  • Phone: 612-810-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN LYONGA
Title or Position: CEO
Credential:
Phone: 612-810-6309