Healthcare Provider Details

I. General information

NPI: 1740837160
Provider Name (Legal Business Name): BF EMPOWERMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 S MAIN ST STE 107
AKRON OH
44311-4401
US

IV. Provider business mailing address

526 S MAIN ST STE 107
AKRON OH
44311-4401
US

V. Phone/Fax

Practice location:
  • Phone: 330-368-2400
  • Fax: 330-313-3849
Mailing address:
  • Phone: 330-368-2400
  • Fax: 330-313-3849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARBARA FOSTER
Title or Position: PRESIDENT/CEO
Credential: LPCC
Phone: 330-957-4955